# SPENCER A COLDEN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659624336
- **Authorized official:** SPENCER ADAM COLDEN MD (PRESIDENT)
- **Authorized official phone:** (917) 796-7674

## Contact information

- **Practice address:** 15011 HILLSIDE AVE, JAMAICA, NY 11432-3319
- **Practice address phone:** (917) 796-7674
- **Mailing address:** 300 E 75TH ST, APT 31A, NEW YORK, NY 10021-3375
- **Mailing address phone:** (917) 796-7674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 10/18/2012