Individual
ERIKA SPADAFORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 NOTT ST, STE 102, SCHENECTADY, NY 12308-2589
(518) 382-7500
(518) 382-7572
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639391
NY
363L00000X
Nurse Practitioner
Primary
340743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04503848
—
NY
01
—
106929000202
FIDELIS
NY
Enumeration date
06/08/2016
Last updated
01/26/2018
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