Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 029644-1 | NY |
NPI | 1023133667 |
---|---|
Provider Name | Dr. Howard L. Spitzer |
First Address | New York, NY 10019-2140 |
Second Address | New York, NY 10019-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 15/05/2010 |