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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SPENCER WADE

Active

SPENCER WADE is a 1223D0004X healthcare provider located in NEW YORK, New York. NPI 1316396419 is currently active in the NPPES registry. Verify at CMS.

1223D0004X · NEW YORK, NY

Registration Details

NPI Number
1316396419
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2016 (10.155130016484 yrs)
Last Updated
Sep 7, 2021
Licenses
3705 (OH)
10310 (KY)
O61371 (NY)

Practice Information

Address
345 E 24TH ST
NEW YORK, NY, 100104020
Browse NY providers · Browse ZIP 10010
Phone
5172858734
Primary Specialty
1223D0004X
1223D0004X
Additional Specialty
1223D0004X
Additional Specialty
1223D0004X

Other 1223D0004X Providers in NEW YORK, NY

Name Credential NPI
DR. PHONG CAM TA D.D.S. 1861646747
DR. CAMILLE CHIQUES DMD 1417189853
BRANDON MICHAEL FITZGERALD DMD 1801139662
MIRIAM ELIZABETH CHUNG DDS 1699153429
DR. EMANUEL GLUCKMAN DDS 1922500818
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.