Cook, George Spicer

Cook, George Spicer is an individual health care provider with primary practice located at 309 County Route 47 Suite 1, Saranac Lake NY 12983-5405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cook, George Spicer can be contacted via phone (518) 891-2688.

Contact Information

Primary practice address
309 County Route 47 Suite 1 Saranac Lake NY 12983-5405
Phone: (518) 891-2688
Fax: (518) 891-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 123651 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 123651 New York

Profile Details

NPI number 1568462562
LBN Legal business name Cook, George Spicer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated May 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568462562 NPPES
New York MEDICAID 00459581
New York Other 1568462562
New York Other DD2644
New York Other 000401590001
New York Other 305201
New York Other P00000040480

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