Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 214894-1 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 214894-1 | NY |
NPI | 1245219856 |
---|---|
Provider Name | Eric M Spencer |
First Address | Yonkers, NY 10701-1309 |
Second Address | Yonkers, NY 10701-1309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 09/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I12894 | (02) |