Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 189052 | NY |
NPI | 1043289218 |
---|---|
Provider Name | Laurence N. Spier |
First Address | Great Neck, NY 11021-5312 |
Second Address | Great Neck, NY 11021-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 02/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113640161 | TAX ID (01) | |
431I11 | BCBS (01) | NY |
7099906 | GHI (01) | |
G69572 | (02) | |
P954752 | OXFORD (01) |