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
Phone: (212) 598-6625
Fax: (212) 598-6723
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700861168 | NPPES |
| New York | MEDICAID | 01415269 |
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