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Contact Information

PAUL D GIOVINCO, DPM
7127 FRESH POND RD
RIDGEWOOD, NY11385-5918
 Phone: 718-821-4097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

213ER0200X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PAUL D GIOVINCO · (Male)

NPI # 1245319771
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/03/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 002603
  • NY Medicaid 00419470
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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