Provider Demographics
NPI:1609880376
Name:SPINELLI, FRANK ANGELO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ANGELO
Last Name:SPINELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 WEST 23RD ST
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-352-3170
Mailing Address - Fax:212-352-3151
Practice Address - Street 1:361 WEST 23RD ST
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-352-3170
Practice Address - Fax:212-352-3151
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216138207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02266677Medicaid
NY001K11Medicare PIN
NY02266677Medicaid