Active NPIIndividual provider

Joel L Spivack, DPM

Podiatrist in Pomona, New York

NPI Number1114066313
Practice location
978 Rte 45 Rm 109, Pomona, NY 10970
Fax
845-354-2809
Last updated
July 8, 2007

Joel L Spivack is a Podiatrist based in Pomona, NY. Joel L Spivack practices in Pomona, NY and has the professional credentials of DPM. The NPI Number for Joel L Spivack is 1114066313 and holds a License No. N0026261 (NY). The current practice location address for Joel L Spivack is 978 Rte 45 Rm 109, Pomona, NY 10970 and can be reached out via phone at 845-354-2700 and via fax at 845-354-2809.

Provider Profile Details

NPI Number
1114066313
Provider Name
Joel L Spivack
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
978 Rte 45 Rm 109, Pomona, NY 10970
Phone Number
845-354-2700
Fax Number
845-354-2809
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
No
Provider Enumeration Date
February 5, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
978 Rte 45 Rm 109
Pomona, NY 10970
City
Pomona
Zip
10970
Phone Number
845-354-2700
Fax Number
845-354-2809
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
978 Rte 45 Rm 109
Ste 109
Pomona, NY 10970
City
Pomona
State
NY
Zip
10970
Phone Number
845-354-2700
Fax Number
845-354-2809

License Information

License Number
N0026261
License State
NY
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joel L Spivack, DPM?

The NPI number of Joel L Spivack, DPM is 1114066313. It was assigned on February 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Joel L Spivack, DPM?

Joel L Spivack, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NY under license number N0026261.

Where does Joel L Spivack, DPM practice?

The practice location is 978 Rte 45 Rm 109, Pomona, NY 10970. The office can be reached at 845-354-2700 (phone) or 845-354-2809 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114066313 directly on the NPPES registry website.

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