Organization
BRIDGETT SPANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRIDGETT MARY SPANO LPN (LICENSED PRACTICAL NURSE)
(315) 520-4601
Entity
Organization
Contact information
Practice address
6381 TRENTON RD, UTICA, NY 13502-6817
(315) 520-4601
Mailing address
6381 TRENTON RD, UTICA, NY 13502-6817
(315) 520-4601
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
274037-1
NY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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