Individual provider · Type 1 NPI

Lisa Spadanuta

Specialist · Fresh Meadows, NY

NPI number 1366838161 Active

Practice location

6725 188th St
Fresh Meadows, NY 11365-3767

Call (718) 454-6460 Map

Mailing address

30 Midwood Ave
Farmingdale, NY 11735-5351

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X322862091 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1366838161

Lisa Spadanuta's National Provider Identifier is 1366838161, issued on Apr 9, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Apr 9, 2015.