Provider Demographics
NPI:1750370375
Name:SPIRIG, ANDREAS M (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:M
Last Name:SPIRIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1351 ROUTE 55
Mailing Address - Street 2:STE 200
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5128
Mailing Address - Country:US
Mailing Address - Phone:845-475-9661
Mailing Address - Fax:845-475-9938
Practice Address - Street 1:21 READE PL
Practice Address - Street 2:SUITE 2200
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3912
Practice Address - Country:US
Practice Address - Phone:845-483-0698
Practice Address - Fax:845-483-0699
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2019-01-24
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Provider Licenses
StateLicense IDTaxonomies
NY196561-1208G00000X, 2086S0129X, 2085R0204X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1508474Medicaid
NY19J111Medicare ID - Type Unspecified
NYF34225Medicare UPIN