Provider Demographics
NPI:1578652889
Name:SPANDORFER, STEVEN DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DAVID
Last Name:SPANDORFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:505 E 70TH ST
Mailing Address - Street 2:HT 340
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:212-746-0343
Mailing Address - Fax:212-746-3511
Practice Address - Street 1:505 E 70TH ST
Practice Address - Street 2:HT 340
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:212-746-0343
Practice Address - Fax:212-746-3511
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY203309207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9T6372Medicare ID - Type UnspecifiedMEDICARE#
NYF44169Medicare UPIN