Provider Demographics
NPI:1073828851
Name:SHELDON MANSPEIZER, M.D., P.C.
Entity Type:Organization
Organization Name:SHELDON MANSPEIZER, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSPEIZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-428-8876
Mailing Address - Street 1:1 GREENRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1239
Mailing Address - Country:US
Mailing Address - Phone:914-428-8876
Mailing Address - Fax:914-428-3258
Practice Address - Street 1:1 GREENRIDGE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1239
Practice Address - Country:US
Practice Address - Phone:914-428-8876
Practice Address - Fax:914-428-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00143393Medicaid
NY194061Medicare PIN
NYB10814Medicare UPIN