Sporkin, Bradley D

Sporkin, Bradley D is an individual health care provider with primary practice located at 975 Stewart Ave , Garden City NY 11530-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sporkin, Bradley D can be contacted via phone (516) 222-8620.

Contact Information

Primary practice address
975 Stewart Ave Garden City NY 11530-4816
Phone: (516) 222-8620
Fax: (516) 745-5476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 159516 New York

Profile Details

NPI number 1568420917
LBN Legal business name Sporkin, Bradley D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
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 1568420917 NPPES
New York MEDICAID 01562909

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