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Individual

ROBERT WILLIAM SPONZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
102 PARK ST, CR WOOD CANCER CENTER, GLENS FALLS, NY 12801-4403
(518) 926-6620
(518) 926-1954
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-6620
(518) 926-1954

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
117141
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00432191
NY
01
110222929
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
06/05/2012
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