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Contact Information

JOEL L SPIVACK, DPM
978 RTE 45 RM 109
POMONA, NY10970
 Phone: 845-354-2700
 Fax: 845-354-2809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOEL L SPIVACK · (Male)

NPI # 1114066313
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N0026261
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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