Spalding, Samuel Clyde

Spalding, Samuel Clyde is an individual health care provider with primary practice located at 200 Greenfield Pkwy , Liverpool NY 13088-6655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Spalding, Samuel Clyde can be contacted via phone (315) 445-8166.

Contact Information

Primary practice address
200 Greenfield Pkwy Liverpool NY 13088-6655
Phone: (315) 445-8166
Fax: (315) 445-2697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 177673 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 177673 New York

Profile Details

NPI number 1356337562
LBN Legal business name Spalding, Samuel Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 21st, 2020 - about 5 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 1356337562 NPPES
New York MEDICAID 01132838

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