=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811497837
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN ELAINE SPAHIC DNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2018
-----------------------------------------------------
Last Update Date | 12/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3715 23RD AVE STE A
-----------------------------------------------------
City | ASTORIA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11105-1995
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-310-3371
-----------------------------------------------------
Fax | 516-938-1554
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 135 MINEOLA BLVD FL 2
-----------------------------------------------------
City | MINEOLA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11501-3917
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-410-6990
-----------------------------------------------------
Fax | 516-938-1554
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F339490
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------