Individual
CURTIS DAVIS SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
279 MAIN ST, SUITE 102, NEW PALTZ, NY 12561-1623
(845) 255-2930
(845) 255-3089
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
174294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01087847
—
NY
01
—
29E3720581
MEDICARE PTAN
NY
Enumeration date
05/12/2006
Last updated
03/03/2015
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