Individual
KENNETH H SPITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 ERIE BLVD E, STE 100, SYRACUSE, NY 13210-1144
(315) 422-4412
(315) 422-4690
Mailing address
108 TOWN HOUSE CIR, FAYETTEVILLE, NY 13066-1442
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
093853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00550069
—
NY
Enumeration date
05/27/2005
Last updated
10/06/2010
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