Provider Demographics
NPI:1043289218
Name:SPIER, LAURENCE N (MD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:N
Last Name:SPIER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 NORTHERN BLVD
Mailing Address - Street 2:SUITE 380
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5312
Mailing Address - Country:US
Mailing Address - Phone:516-773-0096
Mailing Address - Fax:516-773-0071
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 380
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5312
Practice Address - Country:US
Practice Address - Phone:516-773-0096
Practice Address - Fax:516-773-0071
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2021-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY189052208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
113640161OtherTAX ID
NY431I11OtherBCBS
P954752OtherOXFORD
7099906OtherGHI
G69572Medicare UPIN