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Individual

AMY SPINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
68 HAWTHORNE RD, ROCKY POINT, NY 11778-8719
(631) 905-1069
Mailing address
68 HAWTHORNE RD, ROCKY POINT, NY 11778-8719
(631) 905-1069

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307627-1
NY

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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