Individual
NICOLE SPINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 FORT SALONGA RD, NORTHPORT, NY 11768-2847
(516) 473-4836
Mailing address
120 FORT SALONGA RD, NORTHPORT, NY 11768-2847
(516) 473-4836
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312642-01
NY
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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