Healthcare Provider Details

I. General information

NPI: 1639142078
Provider Name (Legal Business Name): AARON SPINGARN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 S CENTRAL AVE SUITE 100
HARTSDALE NY
10530-2319
US

IV. Provider business mailing address

141 S CENTRAL AVE SUITE 100
HARTSDALE NY
10530-2319
US

V. Phone/Fax

Practice location:
  • Phone: 914-686-3950
  • Fax: 914-686-3768
Mailing address:
  • Phone: 914-686-3950
  • Fax: 914-686-3768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number182703
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: