MEDICARE: DR. GARY SPINDLER DPM

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
1	213E00000X	Podiatrist	N003807	NY

General Provider Information

NPI Number	:	1275716037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY SPINDLER DPM

Provider Business Mailing Address
First Line	:	149 ENCLAVE BLVD
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5787
Country	:	US
Telephone Number	:	917-972-9102
Fax Number	:

Provider Business Practice Location Address
First Line	:	1885 HYLAN BLVD # 1085
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-2110
Country	:	US
Telephone Number	:	917-972-9102
Fax Number	:	848-208-3907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2007
Last Update Date	:	01/27/2025

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