Individual
MATTHEW SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7206 NORTHERN BLVD, JACKSON HEIGHTS, NY 11372-1049
(718) 428-1500
Mailing address
1670 YORK AVE APT 2H, NEW YORK, NY 10128-6561
(845) 702-2068
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
306960
NY
Other
Enumeration date
03/27/2019
Last updated
06/09/2025
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