Individual
BRIAN T SPAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
97 MAIN ST, SALAMANCA, NY 14779-1529
(716) 945-5211
(716) 945-5267
Mailing address
97 MAIN ST, SALAMANCA, NY 14779-1529
(716) 945-5211
(716) 945-5267
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00625098
—
NY
Enumeration date
10/15/2010
Last updated
10/15/2010
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