Basic Information
| Provider Information | |||||||||
| NPI: | 1215099221 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SPIEGLER | ||||||||
| FirstName: | PETER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 222 STATION PLAZA NORTH | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | MINEOLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166632834 | ||||||||
| FaxNumber: | 5166634696 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 STATION PLAZA NORTH | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | MINEOLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166632834 | ||||||||
| FaxNumber: | 5166634696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 201573 | NY | X | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 201573 | NY | X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RS0012X | 201573 | NY | X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02086840 | 05 | NY | MEDICAID |