Healthcare Provider Details

I. General information

NPI: 1720396351
Provider Name (Legal Business Name): DAVID SPRITZLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 09/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 2ND AVE FL 9
NEW YORK NY
10010-5645
US

IV. Provider business mailing address

108 LINCOLN PL APT 2F
BROOKLYN NY
11217-3625
US

V. Phone/Fax

Practice location:
  • Phone: 646-438-7833
  • Fax: 646-438-7833
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number1148105
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: