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Individual

KIRK SPERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 659-4491
(631) 659-4580
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 659-4491
(631) 659-4580

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
162109
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000114235
GHI HMO
NY
01
0132293
GHI PPO
NY
05
01789344
NY
01
1467779
AETNA HMO
NY
01
412221
MVP
NY
01
4237155
AETNA PPO
NY
01
4C2180
HEALTHNET
01
6N0641
BCBS OF NY
NY
01
NS4191
OXFORD
Enumeration date
08/31/2006
Last updated
09/15/2015
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