Individual
PATRICIA SPENCER-CISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 PARK ST, GLENS FALLS, NY 12801-4449
(518) 926-6545
(518) 926-1954
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-6545
(518) 926-1954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302969
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02328738
—
NY
01
—
080174918
RR MEDICARE
NY
Enumeration date
11/03/2005
Last updated
06/09/2009
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