Individual
DR. PAUL DAMIAN GIOVINCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7127 FRESH POND RD, RIDGEWOOD, NY 11385-5918
(718) 821-4097
Mailing address
7127 FRESH POND RD, RIDGEWOOD, NY 11385-5918
(718) 821-4097
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
002603
NY
213ER0200X
Radiology Podiatrist
Primary
002603
NY
213ES0000X
Sports Medicine Podiatrist
002603
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
002603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419470
—
NY
Enumeration date
11/03/2006
Last updated
09/11/2025
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