Spivak, Jeffrey Michael

Spivak, Jeffrey Michael is an sole proprietor health care provider with primary practice located at 301 E 17Th St , New York NY 10003-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Spivak, Jeffrey Michael can be contacted via phone (212) 598-6625.

Contact Information

Primary practice address
301 E 17Th St New York NY 10003-3804
Fax: (212) 598-6723
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 171248 New York

Profile Details

NPI number 1700861168
LBN Legal business name Spivak, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2005
Last updated Apr 2nd, 2021 - about 3 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 1700861168 NPPES
New York MEDICAID 01415269

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