Provider Demographics
NPI:1295962587
Name:SPIGNER, GERALDINE ELIZABETH (MSED)
Entity type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:ELIZABETH
Last Name:SPIGNER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E 4TH ST
Mailing Address - Street 2:#3G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1753
Mailing Address - Country:US
Mailing Address - Phone:347-267-6113
Mailing Address - Fax:
Practice Address - Street 1:170 E 4TH ST
Practice Address - Street 2:#3G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-1753
Practice Address - Country:US
Practice Address - Phone:347-267-6113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist