Spadafora, Karen

Spadafora, Karen is an sole proprietor health care provider with primary practice located at 167 W Broadway Apt 3, Long Beach NY 11561-4052. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Spadafora, Karen can be contacted via phone (516) 427-4532.

Contact Information

Primary practice address
167 W Broadway Apt 3 Long Beach NY 11561-4052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 895790141 New York

Profile Details

NPI number 1710362678
LBN Legal business name Spadafora, Karen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2015
Last updated Jul 21st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710362678 NPPES
New York MEDICAID 895790141
New York MEDICAID 895798141

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