Individual
LAURA THERESA SPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(516) 458-5298
Mailing address
59 HAUSER ST, BOHEMIA, NY 11716
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
521814-1
NY
Other
Enumeration date
09/21/2017
Last updated
03/17/2018
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