SCOTT J. SPIVEY PROVENCIO

NEW YORK, NY
NPI1922867001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  NONE)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-19
Last Update Date2024-07-09
Business Address
SCOTT J. SPIVEY PROVENCIO MD, MPhil
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029-6574
Phone number: 212-241-6500
Mailing Address
SCOTT J. SPIVEY PROVENCIO MD, MPhil
1 GUSTAVE L LEVY PL FL 12
NEW YORK, NY 10029-6574
Phone number: 212-241-6500