Individual
ROGER B SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, NEW YORK METHODIST HOSPITAL, BROOKLYN, NY 11215-3609
(718) 780-3000
(845) 790-2675
Mailing address
2 CATHARINE ST, P.O. BPX 550, POUGHKEEPSIE, NY 12601-3100
(866) 868-8416
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
241231-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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