Basic Information
Provider Information
NPI: 1174564702
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPREITZER
FirstName: BARBARA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 COATES DR
Address2:  
City: GOSHEN
State: NY
PostalCode: 109246758
CountryCode: US
TelephoneNumber: 8456511400
FaxNumber: 8456511512
Practice Location
Address1: 30 HATFIELD LN
Address2: SUITE 101
City: GOSHEN
State: NY
PostalCode: 109246766
CountryCode: US
TelephoneNumber: 8452942733
FaxNumber: 8452946484
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 09/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF331002-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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