# ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East End Neurpsych
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063029411
- **Authorized official:** ERIC SPRONZ N.P (OWNER)
- **Authorized official phone:** (631) 737-6434

## Contact information

- **Practice address:** 2539 MIDDLE COUNTRY RD STE 4, CENTEREACH, NY 11720-3503
- **Practice address phone:** (631) 737-6434
- **Practice address fax:** (631) 738-1226
- **Mailing address:** 2539 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3551
- **Mailing address phone:** (631) 737-6434
- **Mailing address fax:** (631) 738-1226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 10/19/2020