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General NPI Number Information
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NPI Number | 1215299144
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Entity Type | Organization
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Legal Business Name | MARK SPITZER, MD P.C.
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 1991 MARCUS AVE STE M101
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-2057
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Country | US
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Telephone | 516-355-7802
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Fax | 516-467-1387
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Provider Business Mailing Address
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Address Line | 14 MEADOW LN
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City | LAWRENCE
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State | NY
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Zip | 11559-1828
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Country | US
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Telephone | 516-355-7802
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Fax | 516-467-1387
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK SPITZER
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Credential | M.D.
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Telephone | 516-355-7802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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