Individual
MICHELLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11643 228TH ST, CAMBRIA HEIGHTS, NY 11411-1721
(516) 973-8835
Mailing address
11643 228TH ST, CAMBRIA HEIGHTS, NY 11411-1721
(516) 973-8835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7156911
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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