Provider Demographics
NPI:1023096336
Name:SPINOSA, FRANK (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:SPINOSA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1023
Mailing Address - Street 2:2A HUDSON AVENUE
Mailing Address - City:SHELTER ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11964-1023
Mailing Address - Country:US
Mailing Address - Phone:631-749-2222
Mailing Address - Fax:631-749-4033
Practice Address - Street 1:2A HUDSON AVENUE
Practice Address - Street 2:
Practice Address - City:SHELTER ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11964-1023
Practice Address - Country:US
Practice Address - Phone:631-749-2222
Practice Address - Fax:631-749-4033
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003131213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT50993Medicare UPIN