Individual
MARY JO SPALLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F001001-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000923970001
BC/BS OF WESTERN NEW YORK
NY
01
—
000923970002
BC/BS OF WESTERN NEW YORK
NY
05
—
02198227
—
NY
01
—
107179CQ
PREFERRED CARE
NY
01
—
1899695
GHI
NY
01
—
P010011001
BC/BS
NY
Enumeration date
04/17/2006
Last updated
09/29/2023
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