Healthcare Provider Details

I. General information

NPI: 1932195419
Provider Name (Legal Business Name): DR. DAVID SPEISER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 02/02/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 NASSAU BLVD.
WEST HEMPSTEAD NY
11552
US

IV. Provider business mailing address

227 NASSAU BLVD.
WEST HEMPSTEAD NY
11552
US

V. Phone/Fax

Practice location:
  • Phone: 516-599-3333
  • Fax: 516-599-3127
Mailing address:
  • Phone: 516-599-3333
  • Fax: 516-599-3127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number201937
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number201937-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: