Provider Demographics
NPI:1508374679
Name:SPIRGEL, MEREDITH ASHLEY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:MEREDITH
Middle Name:ASHLEY
Last Name:SPIRGEL
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ROSEANNE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1906
Mailing Address - Country:US
Mailing Address - Phone:516-633-4828
Mailing Address - Fax:
Practice Address - Street 1:160 RIVERSIDE BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10069-0701
Practice Address - Country:US
Practice Address - Phone:646-398-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024509246Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Single Specialty