MEDICARE: ALLISON SPENCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	310651	NY

General Provider Information

NPI Number	:	1437094554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON SPENCE

Provider Business Mailing Address
First Line	:	1523 LONGFELLOW AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10460-5431
Country	:	US
Telephone Number	:	646-824-3347
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 W 106TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-3714
Country	:	US
Telephone Number	:	212-222-5285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ ALLISON SPENCE ” Practice Location

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