Individual
ANNE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
247-35B 77TH CRES., BELLEROSE, NY 11426
(646) 573-0621
Mailing address
247-35B 77TH CRES., BELLEROSE, NY 11426
(646) 573-0621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717756
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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