Individual
MR. PATRICK SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6500
Mailing address
1919 24TH AVE APT L502, ASTORIA, NY 11102-3479
(917) 596-9347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
545136-1
NY
363L00000X
Nurse Practitioner
Primary
545136
NY
Other
Enumeration date
08/20/2008
Last updated
10/11/2021
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