MEDICARE: MAURA ANNE SPAR

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	174400000X	Specialist	1796392	NY

General Provider Information

NPI Number	:	1437086220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA ANNE SPAR

Provider Business Mailing Address
First Line	:	267 E BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4227
Country	:	US
Telephone Number	:	516-375-2493
Fax Number	:	516-375-2493

Provider Business Practice Location Address
First Line	:	267 E BROADWAY
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4227
Country	:	US
Telephone Number	:	516-375-2493
Fax Number	:	516-375-2493

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ MAURA ANNE SPAR ” Practice Location

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