Individual
MARY ELLEN SPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA-C
Contact information
Practice address
3 CENTEROCK RD, WEST NYACK, NY 10994-2214
(845) 348-2000
Mailing address
3 CENTEROCK RD, WEST NYACK, NY 10994-2214
(845) 348-2000
(201) 862-0095
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00322800
NJ
Other
Enumeration date
04/23/2014
Last updated
04/10/2025
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