Healthcare Provider Details

I. General information

NPI: 1811497837
Provider Name (Legal Business Name): ERIN ELAINE SPAHIC DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 23RD AVE STE A
ASTORIA NY
11105-1995
US

IV. Provider business mailing address

135 MINEOLA BLVD FL 2
MINEOLA NY
11501-3917
US

V. Phone/Fax

Practice location:
  • Phone: 917-310-3371
  • Fax: 516-938-1554
Mailing address:
  • Phone: 917-410-6990
  • Fax: 516-938-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF339490
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: