MEDICARE: DR. ALVIN SPINDLER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22969	NY

General Provider Information

NPI Number	:	1225090475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVIN SPINDLER D.D.S.

Provider Business Mailing Address
First Line	:	294 VICTORY BLVD
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-1721
Country	:	US
Telephone Number	:	914-632-3589
Fax Number	:

Provider Business Practice Location Address
First Line	:	2162 80TH ST
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11370-1323
Country	:	US
Telephone Number	:	718-728-8623
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	07/08/2007

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