MEDICARE: ALAN L SPIELBERG MD PC

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	207RG0100X	Gastroenterology Physician

General Provider Information

NPI Number	:	1396003851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN L SPIELBERG MD PC

Provider Business Mailing Address
First Line	:	48 ROUTE 25A
Second Line	:	SUITE 203
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-1431
Country	:	US
Telephone Number	:	516-488-9427
Fax Number	:	800-557-3140

Provider Business Practice Location Address
First Line	:	50 ROUTE 111
Second Line	:	SUITE 302
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-3738
Country	:	US
Telephone Number	:	516-488-9427
Fax Number	:	800-557-3140

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. ALAN L SPIELBERG
Credential	:	M.D.
Telephone Number	:	516-488-9427

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	01/21/2015

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