Spivack, Simon Daniel

Spivack, Simon Daniel is an individual health care provider with primary practice located at 1300 Morris Park Ave Pulmonary Medicine, Bronx NY 10461-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Spivack, Simon Daniel can be contacted via phone (718) 430-2591.

Contact Information

Primary practice address
1300 Morris Park Ave Pulmonary Medicine Bronx NY 10461-1900
Phone: (718) 430-2591
Fax: (718) 430-8563
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 189782-1 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 189782-1 New York

Profile Details

NPI number 1366438475
LBN Legal business name Spivack, Simon Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Aug 23rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366438475 NPPES
New York MEDICAID 01269763

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