Provider Demographics
NPI:1396791190
Name:SPINELLI, BEATRICE A (MD)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:A
Last Name:SPINELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 REMSEN ST
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4256
Mailing Address - Country:US
Mailing Address - Phone:718-748-6660
Mailing Address - Fax:
Practice Address - Street 1:8223 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3113
Practice Address - Country:US
Practice Address - Phone:718-748-6660
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA407242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry