Spivack, Fred

Spivack, Fred is an individual health care provider with primary practice located at 2410 Merrick Rd , Bellmore NY 11710-5701. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Spivack, Fred can be contacted via phone (631) 537-0235.

Contact Information

Primary practice address
2410 Merrick Rd Bellmore NY 11710-5701
Phone: (631) 537-0235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 031364 New York

Profile Details

NPI number 1972785186
LBN Legal business name Spivack, Fred
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972785186 NPPES
New York MEDICAID 01562216

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