Individual
COREY SPETTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CAROLINE AVE, MOUNT VISION, NY 13810-1118
(607) 643-8453
Mailing address
15 CAROLINE AVE, MOUNT VISION, NY 13810-1118
(607) 643-8453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336433
NY
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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