Provider Demographics
NPI:1932974730
Name:SPANO, CRISTINA FRANCESCA (MS, RDN, CDN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:FRANCESCA
Last Name:SPANO
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAUJER ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-1041
Mailing Address - Country:US
Mailing Address - Phone:201-407-0038
Mailing Address - Fax:
Practice Address - Street 1:40 MAUJER ST APT 2R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-1041
Practice Address - Country:US
Practice Address - Phone:201-407-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011526133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered