Individual
SAMITA DEVI SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3110 WEBSTER AVE, BRONX, NY 10467-4902
(917) 861-7971
Mailing address
3110 WEBSTER AVE, BRONX, NY 10467-4902
(917) 861-7971
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00446329
NY
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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