Individual
JEFFREY MICHAEL SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6625
(212) 598-6723
Mailing address
301 E 17TH ST, NEW YORK, NY 10003-3804
(212) 598-6625
(212) 598-6723
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
171248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01415269
—
NY
Enumeration date
12/08/2005
Last updated
04/02/2021
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