Organization
SALVATORE GAUDINO DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE C GAUDINO DPM (OWNER)
(718) 836-1017
Entity
Organization
Contact information
Practice address
420 74TH ST, BROOKLYN, NY 11209-2602
(718) 836-1017
(718) 836-9555
Mailing address
420 74TH ST, BROOKLYN, NY 11209-2602
(718) 836-1017
(718) 836-9555
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01803956
MEDICAID
NY
01
—
0685697460001
CIGNA
NY
01
—
10210516A
AMERIGROUP
NY
01
—
1059721
FIRSTHEALTH
NY
01
—
1833198
UNITED HEALTHCARE
NY
01
—
2421958
AETNA USHC
NY
01
—
339750101
HEALTHPLUS
NY
01
—
38845
ELDERPLAN
NY
01
—
51018P
HEALTHCARE PARTNERS
NY
01
—
5180176
AETNA PPO
NY
01
—
6C4043
HEALTHNET
NY
01
—
78020685697460
HORIZON
NY
01
—
8999989
GHI
NY
01
—
AC8360
ACS HEATHNET
NY
01
—
N005093-A85
HEALTHFIRST
NY
01
—
P665631
OXFORD
NY
Enumeration date
04/28/2009
Last updated
07/16/2015
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