Individual
DR. JONATHAN SPAGNOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVE STE 100, STATEN ISLAND, NY 10305-3400
(718) 667-0077
Mailing address
501 SEAVIEW AVE STE 100, STATEN ISLAND, NY 10305-3400
(718) 667-0077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
289462
NY
207RC0000X
Cardiovascular Disease Physician
Primary
289462
NY
207RI0011X
Interventional Cardiology Physician
289462
NY
390200000X
Student in an Organized Health Care Education/Training Program
572841215
NY
Other
Enumeration date
06/19/2013
Last updated
12/03/2021
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