Provider Demographics
NPI:1023133667
Name:SPITZER, HOWARD L (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:L
Last Name:SPITZER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W 58TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2140
Mailing Address - Country:US
Mailing Address - Phone:212-315-3320
Mailing Address - Fax:212-315-3321
Practice Address - Street 1:140 W 58TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2140
Practice Address - Country:US
Practice Address - Phone:212-315-3320
Practice Address - Fax:212-315-3321
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029644-11223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics