Spencer Roark is a student in an organized health care education training program in Flushing, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Spencer Roark NPI is 1023694460. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2000
The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.