Healthcare Provider Details

I. General information

NPI: 1538251400
Provider Name (Legal Business Name): HARLAN B SPINDLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 03/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 WEST PARK AVENUE
LONG BEACH NY
11561
US

IV. Provider business mailing address

58 WEST PARK AVENUE
LONG BEACH NY
11561
US

V. Phone/Fax

Practice location:
  • Phone: 718-377-1212
  • Fax: 718-258-1405
Mailing address:
  • Phone: 718-377-1212
  • Fax: 718-258-1405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN002517
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: