Individual
SPERO JOHN THEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 CENTRAL PARK S, NEW YORK, NY 10019-1565
(212) 265-2724
Mailing address
941 MCLEAN AVE, # 387, YONKERS, NY 10704-4107
(914) 237-6797
(208) 279-8681
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
228653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063771
—
NJ
Enumeration date
02/02/2006
Last updated
04/17/2019
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