Most Relevant Information
Provider Data
| NPI Number: | 1003214628 |
| Provider Name: | GENEVIEVE SPOTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | F307015-1 |
Most Important Dates
| Enumeration Date: | 12/13/2014 |
| Last Updated: | 12/13/2014 |
Provider Practice Location
130 ROSE AVE
STATEN ISLAND
NY
103062241
Practice Location Phone/Fax
| Phone: | 7189801553 |
| Fax: |
Provider Mailing Location
130 ROSE AVE
STATEN ISLAND
NY
103062241
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |