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1376287979
SPENSER PAUL BIVONA
MINEOLA, NY
NPI
1376287979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-21
Last Update Date
2022-05-11
Business Address
SPENSER PAUL BIVONA MD
NYU LANGONE HOSPITAL - LONG ISLAND, 222 STATION PLAZA SUIT 509
MINEOLA, NY 11501-3957
Phone number: 516-663-2381
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Mailing Address
SPENSER PAUL BIVONA MD
5 BRADLEY CT APT 4S
MINEOLA, NY 11501-3707
Phone number: 631-521-9870
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