Individual
BENJAMIN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1978 CROMPOND RD, CORTLANDT MNR, NY 10567-4111
(914) 736-0703
Mailing address
2649 STRANG BLVD, SUITE 304, YORKTOWN HEIGHTS, NY 10598-2939
(914) 739-0087
(914) 737-1714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00330295
RAILROAD MEDICARE
NY
Enumeration date
05/23/2006
Last updated
12/01/2022
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