Andrea Elizabeth Spiekhout, D.O.
Family Medicine in Bronx, NY. Individual provider (NPI-1).
NPI number1003201872
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1003201872
- Entity type
- Individual (NPI-1)
- Name
- Andrea Elizabeth Spiekhout
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2015
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 308893 | NY | Yes |
| 207Q00000X | Family Medicine | OS019665 | PA | |
| 208M00000X | Hospitalist | OS019665 | PA |
Practice location
1650 Grand ConcourseBronx, NY 10457-7679
Phone 718-992-7669
Mailing address
1650 Grand ConcourseBronx, NY 10457-7679
Phone 718-590-1800
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