Individual
ANDRE L SPELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 BIGELOW ST, BINGHAMTON, NY 13904-1601
(601) 336-2669
Mailing address
19 BIGELOW ST, BINGHAMTON, NY 13904-1601
(601) 336-2669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
371369475
NY
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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