Provider Demographics
NPI:1417108978
Name:SPIERER, DINA SCHWARTZBERG (PNP)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:SCHWARTZBERG
Last Name:SPIERER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3138
Mailing Address - Country:US
Mailing Address - Phone:917-291-3294
Mailing Address - Fax:
Practice Address - Street 1:688 KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3138
Practice Address - Country:US
Practice Address - Phone:917-291-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381911363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics