Provider Demographics
NPI:1477979433
Name:LOUIS SPAGNOLA FAMILY HEALTH NP PC
Entity Type:Organization
Organization Name:LOUIS SPAGNOLA FAMILY HEALTH NP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAGNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:845-452-5200
Mailing Address - Street 1:1145 ROUTE 55
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5042
Mailing Address - Country:US
Mailing Address - Phone:845-452-5200
Mailing Address - Fax:
Practice Address - Street 1:1145 ROUTE 55
Practice Address - Street 2:SUITE 4
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-5042
Practice Address - Country:US
Practice Address - Phone:845-452-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty