Most Relevant Information
Provider Data
| NPI Number: | 1003018953 |
| Provider Name: | ELEANOR ANN SPANEK |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 004365 |
Most Important Dates
| Enumeration Date: | 06/04/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
801 CYPRESS ST
ROME
NY
134402129
Practice Location Phone/Fax
| Phone: | 3153396536 |
| Fax: | 3153391746 |
Provider Mailing Location
1020 MARY ST
UTICA
NY
135011930
Provider Mailing Phone/Fax
| Phone: | 3157246907 |
| Fax: | 3157330791 |