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Organization
MARIO SPAGNUOLO MDPC
Active
Organization
MARIO SPAGNUOLO MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN SPAGNUOLO (OFFICE MANAGER)
(014) 968-5574
Entity
Organization
Contact information
Practice address
944 N BROADWAY, YONKERS, NY 10701-1304
(914) 968-5574
(914) 968-5612
Mailing address
944 N BROADWAY, YONKERS, NY 10701-1304
(914) 968-5574
(914) 968-5612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
085537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00131186
—
NY
Enumeration date
10/03/2007
Last updated
10/03/2007
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