Individual
JESSICA SPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 REGIS DR, STATEN ISLAND, NY 10314-1427
(718) 697-5250
Mailing address
280 REGIS DR, STATEN ISLAND, NY 10314-1427
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
016807-1
NY
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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