Spivack, Simon Daniel
Spivack, Simon Daniel is an individual health care provider with primary practice located at 1300 Morris Park Ave Pulmonary Medicine, Bronx NY 10461-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spivack, Simon Daniel can be contacted via phone (718) 430-2591.Contact Information
Primary practice address
1300 Morris Park Ave Pulmonary Medicine
Bronx NY 10461-1900
Phone: (718) 430-2591
Fax: (718) 430-8563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 189782-1 | New York |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 189782-1 | New York |
Profile Details
| NPI number | 1366438475 |
|---|---|
| LBN Legal business name | Spivack, Simon Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Aug 23rd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366438475 | NPPES |
| New York | MEDICAID | 01269763 |
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