Individual
ALYSSA SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 740-0751
Mailing address
35 LONGWOOD ROAD, MIDDLE ISLAND, NY 11953
(631) 740-0751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3006785
NY
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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