Ms. Susan Spadafora
Nurse Practitioner - Pediatrics
3424 Kossuth Ave
Bronx
, New York 10467-2410
Ms. Susan Spadafora
Nurse Practitioner - Pediatrics
3424 Kossuth Ave
Bronx
, New York 10467-2410
(212) 304-8875
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Susan Spadafora
- 91 Payson Ave Apt#6d
- New York, NY
- Zip : 10034-2722
- Phone : (212) 304-8875
Second Address
- Ms. Susan Spadafora
- 3424 Kossuth Ave
- Bronx, NY
- Zip : 10467-2410
- Phone : (718) 519-3015
Reviews
FAQs
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Is Ms. Susan Spadafora a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 380518 | NY |
National Provider Identifier
| NPI | 1043389455 |
|---|---|
| Provider Name | Ms. Susan Spadafora |
| First Address | New York, NY 10034-2722 |
| Second Address | Bronx, NY 10467-2410 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 01/03/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10770201 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.