Individual
KRISTEN SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 ANNADALE RD, STATEN ISLAND, NY 10312-1502
(347) 466-1203
Mailing address
32 ANNADALE RD, STATEN ISLAND, NY 10312-1502
(347) 466-1203
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
842569-01
NY
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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