MEDICARE: DR. JONATHAN ALEXANDER SPITZ DC

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	111N00000X	Chiropractor	009051	NY

General Provider Information

NPI Number	:	1396896635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN ALEXANDER SPITZ DC

Provider Business Mailing Address
First Line	:	50 COURT ST STE 511
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4848
Country	:	US
Telephone Number	:	718-237-5117
Fax Number	:	718-237-9149

Provider Business Practice Location Address
First Line	:	50 COURT ST STE 511
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4848
Country	:	US
Telephone Number	:	718-237-5117
Fax Number	:	718-237-9149

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/04/2013

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