ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C. (NPI# 1063029411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063029411 |
| Entity Type | Organization |
| Organization Name | ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C. |
| Other Organization Name | EAST END NEURPSYCH |
| Practice Address |
2539 Middle Country Rd Ste 4 Centereach NY 11720-3503 |
| Mailing Address |
2539 Middle Country Rd Centereach NY 11720-3551 |
| Practice Telephone | 6317376434 |
| Practice Fax Number | 6317381226 |
| Mailing Telephone | 6317376434 |
| Mailing Fax Number | 6317381226 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | ERIC SPRONZ (OWNER) |
| Authorized Official Telephone | 6317376434 |
| Authorized Official Credential | N.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1922332261 | 01 |
| Other Name | Type Code |
|---|---|
| East End Neurpsych | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C. | 706 Brewster Drive, Port Jefferson, New York 11777 |
| Street Address |
2539 MIDDLE COUNTRY RD STE 4 |
| City | CENTEREACH |
| State | NY |
| Zip Code | 11720-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409087 | Carolyn Barravecchio | Marriage & Family Therapist | 35 South Kennedy Drive, Centereach, NY 11720 | 2019-10-28 |
| 1588158406 | Robin Smith | Social Worker | 129 Dawn Drive, Centereach, NY 11720 | 2018-06-15 |
| 1154820553 | Amanda Grodewald-adler, Psy.d., Pllc | Clinic/Center | 1919 Middle Country Rd Ste 308, Centereach, NY 11720 | 2018-02-12 |
| 1760901144 | Gabrielle Tatiana Zutter | Behavior Technician | 23 Jay Road, Centerach, NY 11720 | 2017-09-16 |
| 1619401544 | Michelle Leblanc | Licensed Practical Nurse | 8 Catalina Ct, Centerreach, NY 11720 | 2017-04-18 |
| 1023557212 | Alexa Brooke Ruggiero | Student in an Organized Health Care Education/Training Program | 30 Strathmore Village Dr, South Setauket, NY 11720 | 2017-02-21 |
| 1336539519 | Rosemarie Bruno | Social Worker | 3771 Nesconset Hwy Ste 102a, South Setauket, NY 11720 | 2015-01-27 |
| 1225446115 | Kristen Kunkel | Specialist/Technologist | 26 Lily Dr, South Setauket, NY 11720 | 2014-07-24 |
| 1497175897 | Jacqueline Maddox | Student in an Organized Health Care Education/Training Program | 11 43rd Street, Centereach, NY 11720 | 2014-04-24 |
| 1336492370 | Valentina Blaine | Optometrist | 1958 Middle Country Rd, Centereach, NY 11720 | 2012-10-15 |
| Find all providers in zip 11720 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022072 | Alan L Steinberg | Psychiatry & Neurology | 2539 Middle Country Rd, Suite 4, Centereach, NY 11720-3551 | 2005-09-08 |
| 1609863687 | East End Neuropsychiatric Associates PC | Psychiatry & Neurology | 2539 Middle Country Rd, Suite 4, Centereach, NY 11720-3551 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
| 1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
| 1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
| Find all providers with the same taxonomy | ||||
| City | CENTEREACH |
| Zip Code | 11720 |
Please comment or provide details below to improve the information on ERIC SPRONZ, PSYCHIATRIC NURSE PRACTITIONER P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.