Provider Demographics
NPI:1538251400
Name:SPINDLER, HARLAN B
Entity type:Individual
Prefix:
First Name:HARLAN
Middle Name:B
Last Name:SPINDLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 WEST PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561
Mailing Address - Country:US
Mailing Address - Phone:718-377-1212
Mailing Address - Fax:718-258-1405
Practice Address - Street 1:58 WEST PARK AVENUE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561
Practice Address - Country:US
Practice Address - Phone:718-377-1212
Practice Address - Fax:718-258-1405
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002517213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP28531Medicare PIN
NYT50792Medicare UPIN