Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRETT MICHAEL SPAIN, D.O.
Active Sole ProprietorDR. BRETT MICHAEL SPAIN, D.O. is a Sports Medicine healthcare provider located in MASSAPEQUA, New York. NPI 1750542064 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1750542064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2008 (18.187379816168 yrs)
- Last Updated
- Jun 8, 2012
- License
-
254808 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5500 MERRICK RDMASSAPEQUA, NY, 117586231Browse NY providers · Browse ZIP 11758
- Phone
- 5167953033
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| JUDY JOSEPH | MD | 1063093136 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.