| Philip S Spencer, MD | |
|
800 Veterans Memorial Hwy, Hauppauge, NY 11788-2948 | |
| (212) 639-2000 | |
| Not Available |
| Full Name | Philip S Spencer |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 800 Veterans Memorial Hwy, Hauppauge, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760462907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 148658 (New York) | Primary |
| Entity Name | Memorial Sloan-kettering Cancer Center Suffolk At Hauppauge |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669443123 PECOS PAC ID: 1951292408 Enrollment ID: O20040323001384 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip S Spencer, MD 633 3rd Ave, Box 3, New York, NY 10017-6706 Ph: () - | Philip S Spencer, MD 800 Veterans Memorial Hwy, Hauppauge, NY 11788-2948 Ph: (212) 639-2000 |
Jennifer L Defazio, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Veterans Hwy, Hauppauge, NY 11788 Phone: 646-227-3275 | |
Ashfaq A Marghoob, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 646-227-3813 | |
Chih-shan J Chen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 212-639-2000 |