Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 159515 | NY |
NPI | 1003823345 |
---|---|
Provider Name | Dr. Daniel Evan Spitzer |
First Address | Suffern, NY 10901-5204 |
Second Address | Suffern, NY 10901-5204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D93242 | (02) | NY |