Jacqueline M Spencer Do Pc

LBN: Jacqueline M Spencer Do Pc
Jacqueline M Spencer Do Pc is an health care organization with primary practice located at 1452 Deer Park Ave , North Babylon NY 11703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jacqueline M Spencer Do Pc can be contacted via phone (631) 254-8500, or through Spencer, Jacqueline M via phone (631) 254-8500.

Contact Information

Primary practice address
1452 Deer Park Ave North Babylon NY 11703
Phone: (631) 254-8500
Fax: (631) 254-8503
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Jacqueline M Doctor of Osteopathy (DO)
Phone: (631) 254-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 214310 New York

Profile Details

NPI number 1386732774
LBN Legal business name Jacqueline M Spencer Do Pc
DBA Doing business as
Authorized official Spencer, Jacqueline M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 1st, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386732774 NPPES
New York MEDICAID 02109855

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