Provider Demographics
NPI:1396487716
Name:SPINDEL, DAVID AUSTIN
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:AUSTIN
Last Name:SPINDEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W 38TH ST APT 8C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-0825
Mailing Address - Country:US
Mailing Address - Phone:914-844-3572
Mailing Address - Fax:
Practice Address - Street 1:30 E 40TH ST RM 604
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1243
Practice Address - Country:US
Practice Address - Phone:212-685-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY390200000XMedicaid