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Elana Jo Spahn
Specialist in Deer Park, New York
NPI 1275189870

Elana Jo Spahn is a Specialist based in Islip, NY. Elana Jo Spahn practices in Deer Park, NY. The NPI Number for Elana Jo Spahn is 1275189870 and holds a License No. (New York).

The current practice location address for Elana Jo Spahn is 1014 Grand Blvd Ste 5, Deer Park, NY and can be reached out via phone at 631-243-1765 and via fax at 631-243-3716.

Location: 1014 Grand Blvd Ste 5, Deer Park, NY, 11751-4700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275189870
Provider Name
Elana Jo Spahn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1014 Grand Blvd Ste 5, Deer Park, NY, 11751-4700
Phone Number
631-243-1765
Fax Number
631-243-3716
Provider Enumeration Date
08/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
631-243-3716
person
Provider Business Mailing Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
631-243-3716
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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