Healthcare Provider Details

I. General information

NPI: 1215931035
Provider Name (Legal Business Name): JOSEPH SPINALE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 GENESEE ST FL 3
ONEIDA NY
13421-2611
US

IV. Provider business mailing address

321 GENESEE ST FL 3
ONEIDA NY
13421-2611
US

V. Phone/Fax

Practice location:
  • Phone: 315-606-2705
  • Fax: 315-606-2706
Mailing address:
  • Phone: 315-606-2705
  • Fax: 315-606-2706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number291488
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: