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Individual

MR. ERIC R.B. SPRONZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN CASAC NPP

Contact information

Practice address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720-3551
(631) 737-6434
Mailing address
2539 MIDDLE COUNTRY RD, SUITE 4, CENTEREACH, NY 11720-3551
(631) 737-6434

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17808
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
664292
NY
164W00000X
Licensed Practical Nurse
298173
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402014
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03141944
NY
Enumeration date
09/18/2009
Last updated
10/19/2020
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