Jacqueline M Spencer Do Pc in North Babylon - Family Medicine

Jacqueline M Spencer Do Pc - NPI 1386732774

Jacqueline M Spencer Do Pc is a Family Medicine in North Babylon, New York. Jacqueline M Spencer Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacqueline M Spencer Do Pc is 1386732774. The last update date is 2010-07-01.

Jacqueline M Spencer Do Pc's current location address is 1452 Deer Park Ave, North Babylon, New York. You can contact this provider via phone number 6312548500 and fax number 6312548503. The mailing address for Jacqueline M Spencer Do Pc is 1452 Deer Park Ave, North Babylon, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacqueline M Spencer Do Pc
Address 1452 Deer Park Ave, North Babylon, New York
Phone Number 6312548500
Fax Number 6312548503
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Spencer M Jacqueline
Credentials DO
Telephone Number 6312548500

NPI Number Detail

NPI Number 1386732774
Provider Enumeration Date 2006-10-11
Last Updated Date 2010-07-01

Provider Mailing Address Detail

Address 1452 Deer Park Ave
City North Babylon
State New York (NY)
Post Code 11703
Phone Number 6312548500
Fax Number 6312548503

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 214310
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2109855 NY --

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FAQs about Jacqueline M Spencer Do Pc

What is the Jacqueline M Spencer Do Pc's 1386732774?

The Jacqueline M Spencer Do Pc's NPI (National Provider Identifier) Number is 1386732774. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jacqueline M Spencer Do Pc's facilities are geographically located?

The facilities of Jacqueline M Spencer Do Pc are physically situated at the following location: 1452 Deer Park Ave, North Babylon, NY, 11703.

What is the area of specialization for Jacqueline M Spencer Do Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jacqueline M Spencer Do Pc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1386732774 to Jacqueline M Spencer Do Pc?

The Centers for Medicare & Medicaid Services assigned the 1386732774 to Jacqueline M Spencer Do Pc on 2006-10-11.

When was the information pertaining to Jacqueline M Spencer Do Pc most recently updated or revised?

The details related to Jacqueline M Spencer Do Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-01.

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