Provider Demographics
NPI:1134307564
Name:SPINELLO, DANIEL (DPT)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SPINELLO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 E 12TH ST
Mailing Address - Street 2:3-C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3810
Mailing Address - Country:US
Mailing Address - Phone:516-330-3215
Mailing Address - Fax:
Practice Address - Street 1:507 E 12TH ST
Practice Address - Street 2:3-C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3810
Practice Address - Country:US
Practice Address - Phone:516-330-3215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027911225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist