Individual
QUEON SPELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 E 3RD ST, NEW YORK, NY 10003-8908
(917) 733-2986
Mailing address
4912 TILDEN AVE, BROOKLYN, NY 11203-4308
(917) 573-4791
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
773376
NY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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