MEDICARE: DR. RUTH SPINNER MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	250084	NY

General Provider Information

NPI Number	:	1174785950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH SPINNER MD

Provider Business Mailing Address
First Line	:	120 W 106TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-3923
Country	:	US
Telephone Number	:	212-870-5015
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 W 106TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-3923
Country	:	US
Telephone Number	:	212-870-5015
Fax Number	:

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	03/15/2013

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