Spallina, Mary Jo

Spallina, Mary Jo is an individual health care provider with primary practice located at 777 Canal View Blvd Suite 400, Rochester NY 14623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Spallina, Mary Jo can be contacted via phone (585) 244-3430.

Contact Information

Primary practice address
777 Canal View Blvd Suite 400 Rochester NY 14623
Phone: (585) 244-3430
Fax: (585) 244-2202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001001-1 New York

Profile Details

NPI number 1740244649
LBN Legal business name Spallina, Mary Jo
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Sep 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740244649 NPPES
New York MEDICAID 02198227
New York Other 107179CQ
New York Other 1899695
New York Other P010011001
New York Other 000923970001
New York Other 000923970002
New York Other P010011001

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