Patricia Spencer-Cisek, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

302969 Issued in NY

Practice address

102 Park St
Glens Falls, NY 12801-4449

Phone

(518) 926-6545

Fax

(518) 926-1954

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1770574113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-6545",
            "fax_number": "518-926-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-926-6545",
            "fax_number": "518-926-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER-CISEK",
        "first_name": "PATRICIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "302969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02328738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080174918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roslyn W Socolof, MD
• Alexandria Soesman
• Kyle M Sokol, PHARMD
• Otelo Solis, MD
• Clara E Somoza, D.O.
• Lyndsay D Sperazzo, PT, DPT
• Michael Clark Spielberger, DMD
• Spinelli & Associates LLC
• Eileen B Spinelli, ANP
• Robert William Sponzo, MD

• Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.