Individual
JESSICA SPELLUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(888) 694-5700
Mailing address
525 E 68TH ST, BOX 140, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
285875
NY
Other
Enumeration date
04/13/2015
Last updated
10/21/2020
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