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Organization
JACQUELINE M SPENCER DO PC
Active
Organization
JACQUELINE M SPENCER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE M SPENCER DO (PRESIDENT)
(631) 254-8500
Entity
Organization
Contact information
Practice address
1452 DEER PARK AVE, NORTH BABYLON, NY 11703
(631) 254-8500
(631) 254-8503
Mailing address
4567 CROSSROADS PARK DR., LIVERPOOL, NY 13088
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214310
NY
Other
Enumeration date
10/11/2006
Last updated
07/01/2010
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