Individual
COLLEEN ELIZABETH SPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
111 BEDFORD RD, KATONAH, NY 10536-2115
(914) 232-3135
(914) 232-7588
Mailing address
110 SOUTH BEDFORD RD, MOUNT KISCO, NY 10549
(914) 241-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343969
NY
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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