Individual
MRS. PINA C SPAMPANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2365 S CLINTON AVE, ROCHESTER, NY 14618-2663
(585) 442-5320
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005363
NY
363A00000X
Physician Assistant
5363
NY
363AM0700X
Medical Physician Assistant
Primary
005363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000918198001
HEALTHNOW PPO
—
01
—
918198001
COMMUNITY BLUE
—
01
—
PA0168
PREFERRED CARE
—
01
—
PO19005363
BLUE CHOICE
—
Enumeration date
10/11/2006
Last updated
01/09/2025
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