Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 010260 | NY |
Y | 103T00000X | Psychologist | 010260 | NY |
NPI | 1003472416 |
---|---|
Provider Name | Dr. Steven Spitz |
First Address | Mount Kisco, NY 10549-2813 |
Second Address | Mount Kisco, NY 10549-2813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2019 |
Last Update Date | 13/05/2019 |