Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 224529 | NY |
NPI | 1336127497 |
---|---|
Provider Name | Dr. Spencer Adam Colden |
First Address | New York, NY 10021-3375 |
Second Address | Brooklyn, NY 11235-5105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2006 |
Last Update Date | 25/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H70451 | (02) | NY |