Individual
DENNIS LANCE SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
029115
PA
207N00000X
Dermatology Physician
Primary
138640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00715384
—
NY
Enumeration date
08/04/2006
Last updated
10/03/2008
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