Provider Demographics
NPI:1003823345
Name:SPITZER, DANIEL EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EVAN
Last Name:SPITZER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:222 ROUTE 59
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5204
Mailing Address - Country:US
Mailing Address - Phone:845-368-0286
Mailing Address - Fax:845-368-1653
Practice Address - Street 1:222 ROUTE 59
Practice Address - Street 2:SUITE 205
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5204
Practice Address - Country:US
Practice Address - Phone:845-368-0286
Practice Address - Fax:845-368-1653
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY159515207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD93242Medicare UPIN