Individual
STEPHANIE SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 E FORDHAM RD, BRONX, NY 10468-5406
(855) 615-2555
Mailing address
1775 YORK AVE APT 5H, NEW YORK, NY 10128-6906
(917) 817-0924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35184
NH
2085R0202X
Diagnostic Radiology Physician
MD29528
ME
2085R0204X
Vascular & Interventional Radiology Physician
Primary
313960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538515523
—
ME
Enumeration date
05/09/2016
Last updated
01/15/2026
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