Individual
ANDREA ELIZABETH SPIEKHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 992-7669
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7679
(718) 590-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308893
NY
207Q00000X
Family Medicine Physician
OS019665
PA
208M00000X
Hospitalist Physician
OS019665
PA
Other
Enumeration date
03/30/2015
Last updated
07/18/2024
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