Individual
MAXINE SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S JERSEY AVE UNIT 16, EAST SETAUKET, NY 11733-2036
(631) 689-6400
Mailing address
100 S JERSEY AVE UNIT 16, EAST SETAUKET, NY 11733-2036
(631) 689-6400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
180674
NY
207VG0400X
Gynecology Physician
180674
NY
207VX0000X
Obstetrics Physician
Primary
180674
NY
Other
Enumeration date
10/27/2006
Last updated
09/11/2025
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