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Individual
JILL A SPINOSO
Active
Individual
JILL A SPINOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010788
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02052091
MEDCAID GROUP
NY
01
—
AA0171
MEDICARE GROUP
NY
01
—
AA0172
MEDICARE GROUP ID
NY
Enumeration date
04/22/2011
Last updated
04/22/2011
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