Individual
MR. NICHOLAS S SPANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2 UNION AVE, CENTER MORICHES, NY 11934-3324
(631) 878-0310
(631) 878-0754
Mailing address
29 LONGVIEW DR, EAST QUOGUE, NY 11942-3612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304217
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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