Provider Demographics
NPI:1598027682
Name:SPARMAN, ANTHONETTE A (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONETTE
Middle Name:A
Last Name:SPARMAN
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Gender:
Credentials:MD
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Mailing Address - Street 1:2279 CONEY ISLAND AVE
Mailing Address - Street 2:STE 2C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3337
Mailing Address - Country:US
Mailing Address - Phone:718-998-9890
Mailing Address - Fax:718-998-9891
Practice Address - Street 1:2279 CONEY ISLAND AVE
Practice Address - Street 2:STE 2C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3337
Practice Address - Country:US
Practice Address - Phone:718-998-9890
Practice Address - Fax:718-998-9891
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2848312084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04878740Medicaid