Individual
KATHLEEN MARY SPILLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 BROADWAY # D10-36, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Mailing address
7901 BROADWAY # D10-36, ELMHURST, NY 11373-1329
(718) 334-3570
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403757
NY
Other
Enumeration date
11/19/2021
Last updated
08/21/2023
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