Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 096495 | NY |
NPI | 1396996211 |
---|---|
Provider Name | Dr. Adrian Spitzer |
First Address | Bronx, NY 10467 |
Second Address | Bronx, NY 10467-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2008 |
Last Update Date | 09/10/2008 |