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Individual

DR. SAMUEL RICHARD SPITZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42 GURNEY LN, QUEENSBURY, NY 12804-8250
(518) 761-6540
(518) 761-6590
Mailing address
55 SHERIDAN ST, GLENS FALLS, NY 12801-2626
(518) 792-7607

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
082869
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00630039
NY
Enumeration date
03/01/2007
Last updated
08/25/2008
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