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NPI Code Detail

MEDICARE: DR. DAVID SPERLING M.D.

MEDICARE: DR. DAVID SPERLING M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician213195NY
22085R0205XRadiological Physics Physician2131951NY
32085R0204XVascular & Interventional Radiology Physician213195-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2W35021OTHERNYGROUP MEDICARE#

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11467560854OTHERNYGROUP NPI#
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
402186203OTHERNYGROUP MEDICIAID#

General Provider Information

NPI Number : 1255339420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID SPERLING M.D.
Provider Business Mailing Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 845-304-1221
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 845-304-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 12/13/2024

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Directions to “ DR. DAVID SPERLING M.D.” Practice Location

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