Individual
GENEVIEVE SPOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ROSE AVE, STATEN ISLAND, NY 10306-2241
(718) 980-1553
Mailing address
130 ROSE AVE, STATEN ISLAND, NY 10306-2241
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307015-1
NY
Other
Enumeration date
12/13/2014
Last updated
12/13/2014
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