Robert William Sponzo
Medical Oncology
102 Park St Cr Wood Cancer Center
Glens Falls
, New York 12801-4403
Robert William Sponzo
Medical Oncology
102 Park St Cr Wood Cancer Center
Glens Falls
, New York 12801-4403
(518) 926-1954
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Robert William Sponzo
- Po Box 304
- Glens Falls, NY
- Zip : 12801-0304
- Fax : (518) 926-1954
- Phone : (518) 926-6620
Second Address
- Robert William Sponzo
- 102 Park St Cr Wood Cancer Center
- Glens Falls, NY
- Zip : 12801-4403
- Fax : (518) 926-1954
- Phone : (518) 926-6620
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 117141 | NY |
National Provider Identifier
| NPI | 1073501193 |
|---|---|
| Provider Name | Robert William Sponzo |
| First Address | Glens Falls, NY 12801-0304 |
| Second Address | Glens Falls, NY 12801-4403 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2005 |
| Last Update Date | 05/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00432191 | (05) | NY |
| 110222929 | RR MEDICARE (01) | NY |
| B80880 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.