Individual
ROBERT L SPARACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1296 NORTH AVE, NEW ROCHELLE, NY 10804-2603
(914) 235-8224
(914) 235-6940
Mailing address
PO BOX 11090, WESTMINSTER, CA 92685-1090
(562) 809-3548
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001354
CT
363AM0700X
Medical Physician Assistant
Primary
012382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03036591
—
NY
05
—
4024972
—
CT
05
—
4041679
—
CT
Enumeration date
08/14/2006
Last updated
07/21/2022
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