Healthcare Provider Details

I. General information

NPI: 1982066908
Provider Name (Legal Business Name): DANIEL SPUNBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 05/01/2023
Certification Date: 05/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 UNION SQ E STE 900
NEW YORK NY
10003-3239
US

IV. Provider business mailing address

80 MAIDEN LN RM 905
NEW YORK NY
10038-4675
US

V. Phone/Fax

Practice location:
  • Phone: 212-404-8070
  • Fax:
Mailing address:
  • Phone: 212-404-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number311136
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number311136
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number311136
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: