Spencer-Cisek, Patricia
Spencer-Cisek, Patricia is an individual health care provider with primary practice located at 102 Park St , Glens Falls NY 12801-4449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spencer-Cisek, Patricia can be contacted via phone (518) 926-6545.Contact Information
Primary practice address
102 Park St
Glens Falls NY 12801-4449
Phone: (518) 926-6545
Fax: (518) 926-1954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 302969 | New York |
Profile Details
| NPI number | 1770574113 |
|---|---|
| LBN Legal business name | Spencer-Cisek, Patricia |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jun 9th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770574113 | NPPES |
| New York | MEDICAID | 02328738 | |
| New York | Other | 080174918 |
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