Individual
DR. WARREN DANIEL SPINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776-1601
(631) 364-9119
(631) 364-9118
Mailing address
5 MEDICAL DRIVE, PORT JEFFERSON STATION, NY 11776-1601
(631) 364-9119
(631) 364-9118
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
242921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100118939
PTAN A100118939
NY
Enumeration date
09/10/2007
Last updated
10/21/2016
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