Individual
DOMINIC SPERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 ROCKAWAY TPKE, LAWRENCE, NY 11559-1216
(516) 374-5024
(516) 374-5816
Mailing address
215 ROCKAWAY TPKE, LAWRENCE, NY 11559-1216
(516) 374-5024
(516) 374-5816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964970
—
NY
Enumeration date
11/09/2005
Last updated
07/08/2007
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