DR. Michael Dispenza, M.D.

NPI #1225192503 in Glendale, New York

Provider Information

NPI Number: 1225192503
Entity Type: Individual
Name: DR. Michael Dispenza, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Dec 20, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 6906 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-7264
Phone: (718) 628-8047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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