Spitzer, Samuel Richard

Spitzer, Samuel Richard is an sole proprietor health care provider with primary practice located at 42 Gurney Ln , Queensbury NY 12804-8250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Spitzer, Samuel Richard can be contacted via phone (518) 761-6540.

Contact Information

Primary practice address
42 Gurney Ln Queensbury NY 12804-8250
Fax: (518) 761-6590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 082869 New York

Profile Details

NPI number 1851429849
LBN Legal business name Spitzer, Samuel Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Aug 25th, 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 1851429849 NPPES
New York MEDICAID 00630039

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