Provider Demographics
NPI:1154689867
Name:SPITZER, ALLISON BROOKE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BROOKE
Last Name:SPITZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTER FOR PEDIATRIC ORTHOPAEDIC SURGERY
Mailing Address - Street 2:7 VERMONT DRIVE
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-210-8400
Mailing Address - Fax:
Practice Address - Street 1:7 VERMONT DRIVE
Practice Address - Street 2:CENTER FOR PEDIATRIC ORTHOPAEDIC SURGERY
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-210-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAFS6854891207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery