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1578500153

NPI Code Detail

MEDICARE: MS. ALISON H SPEAR MD

MEDICARE: MS. ALISON H SPEAR MD

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	207P00000X	Emergency Medicine Physician	228265	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4937930001	OTHER	NY	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10073370	OTHER		CDPHP
3	000404647002	OTHER		BLUE SHIELD OF NENY
4	385997	OTHER		MVP
5	H509	OTHER		CDPHP GROUP

General Provider Information

NPI Number	:	1578500153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISON H SPEAR MD

Provider Business Mailing Address
First Line	:	11835 RT 9W
Second Line	:
City	:	WEST COXSACKIE
State	:	NY
Zip	:	12192-3605
Country	:	US
Telephone Number	:	518-731-9000
Fax Number	:	518-731-9119

Provider Business Practice Location Address
First Line	:	11835 RT 9W
Second Line	:
City	:	WEST COXSACKIE
State	:	NY
Zip	:	12192-3605
Country	:	US
Telephone Number	:	518-731-9000
Fax Number	:	518-731-9119

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/22/2008

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Directions to “ MS. ALISON H SPEAR MD” Practice Location

Language	Start Address	Practice Location

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