Individual
MS. JOANN T SPINNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
101 GILLETTE AVE, PATCHOGUE, NY 11772-2514
(631) 790-3413
(631) 438-0303
Mailing address
101 GILLETTE AVE, PATCHOGUE, NY 11772-2514
(631) 790-3413
(631) 438-0303
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
456583-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381840
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03280059
—
NY
Enumeration date
04/10/2008
Last updated
04/27/2020
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