Dr. Dana Spivak, M.D.
Family Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1285642934
StatusActive
Last updated in NPPESJun 17, 2015
Details
- NPI
- 1285642934
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dana Spivak
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2006
- Last updated
- Jun 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 233463 | NY | Yes |
Other names
- Dana Spivak (Former Name)
Practice location
121 Dekalb AveFamily Practice
Brooklyn, NY 11201-5425
Phone 718-250-8444
Mailing address
137 Park Ave1
Hoboken, NJ 07030
Phone 917-692-9309
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