Individual
ANDREW MICHAEL SPELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8917 190TH ST, HOLLIS, NY 11423-1926
(718) 530-8822
Mailing address
8917 190TH ST, HOLLIS, NY 11423-1926
(718) 530-8822
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
640122
NY
Other
Enumeration date
01/25/2018
Last updated
03/17/2018
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