Individual
DR. GREGORY MICHAEL SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
173 MINEOLA BLVD, SUITE 403, MINEOLA, NY 11501-2528
(516) 741-8891
(516) 741-8829
Mailing address
173 MINEOLA BLVD, SUITE 403, MINEOLA, NY 11501-2528
(516) 741-8891
(516) 741-8829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180221
NY
Other
Enumeration date
08/18/2005
Last updated
04/02/2021
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