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NPI Code Detail

MEDICARE: DR. ANDREW SPINAK M.D.

MEDICARE:  DR. ANDREW  SPINAK  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
1174400000XSpecialist185039-1NY
2207W00000XOphthalmology Physician185039-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3180017200OTHERNYPALMETTO GBA RAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1132998987OTHERNYTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558364505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW SPINAK M.D.
Provider Business Mailing Address
First Line : 169 N MIDDLETOWN RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2029
Country : US
Telephone Number : 845-735-5666
Fax Number : 845-735-5673
Provider Business Practice Location Address
First Line : 169 N MIDDLETOWN RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2029
Country : US
Telephone Number : 845-735-5666
Fax Number : 845-735-5673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 10/07/2016

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Directions to “ DR. ANDREW SPINAK M.D.” Practice Location

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