Individual
DR. DANA SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 DEKALB AVE, FAMILY PRACTICE, BROOKLYN, NY 11201-5425
(718) 250-8444
Mailing address
137 PARK AVE, 1, HOBOKEN, NJ 07030
(917) 692-9309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2631996
—
NY
Enumeration date
08/04/2006
Last updated
06/17/2015
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