Individual
JOHN H SPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
153 4TH AVE, BROOKLYN, NY 11217-3108
(718) 230-5811
Mailing address
291 SMITH ST, BROOKLYN, NY 11231-4609
(718) 596-9567
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01296386
—
NY
Enumeration date
08/25/2005
Last updated
07/09/2007
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