MEDICARE: NATALIE ROSE 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	363A00000X	Physician Assistant	030462	NY

General Provider Information

NPI Number	:	1902563117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE ROSE SPENCE

Provider Business Mailing Address
First Line	:	30104 TOWN GREEN DR
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523-1590
Country	:	US
Telephone Number	:	860-395-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 GROVE RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2529
Country	:	US
Telephone Number	:	860-395-7337
Fax Number	:

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

Provider Enumeration Date	:	11/22/2021
Last Update Date	:	10/12/2023

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Directions to “ NATALIE ROSE SPENCE ” Practice Location

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