Individual
DR. RONALD SPINELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOC
Contact information
Practice address
636 MIDDLE COUNTRY RD, SELDEN, NY 11784-2500
(631) 736-4414
Mailing address
5 LEE CT, LAKE GROVE, NY 11755-2205
(631) 737-2014
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X007048-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO7048
WORKER'S COMPENSATION
NY
Enumeration date
12/29/2006
Last updated
07/08/2007
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