Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | FS6854891 | GA |
NPI | 1154689867 |
---|---|
Provider Name | Dr. Allison Brooke Spitzer |
First Address | New Hyde Park, NY 11042 |
Second Address | New Hyde Park, NY 11042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2012 |
Last Update Date | 31/07/2019 |