Provider Demographics
NPI:1154072627
Name:SPINELLI-COOKE, EDWINA BEATRICE (RN)
Entity Type:Individual
Prefix:MRS
First Name:EDWINA
Middle Name:BEATRICE
Last Name:SPINELLI-COOKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2478 BABYLON ST
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4504
Mailing Address - Country:US
Mailing Address - Phone:516-582-9156
Mailing Address - Fax:
Practice Address - Street 1:2478 BABYLON ST
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4504
Practice Address - Country:US
Practice Address - Phone:516-582-9156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse