SPENCER ROSS SHAIN

PORT JEFFERSON, NY
NPI1790588382
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-29
Last Update Date2025-03-29
Business Address
SPENCER ROSS SHAIN DO
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 631-473-1320
Mailing Address
SPENCER ROSS SHAIN DO
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 631-473-1320
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