MEDICARE: JOHN THOMAS ASPINALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst	042030-1	NY

General Provider Information

NPI Number	:	1144485137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN THOMAS ASPINALL

Provider Business Mailing Address
First Line	:	18 KAREN CT
Second Line	:
City	:	OYSTER BAY
State	:	NY
Zip	:	11771-2303
Country	:	US
Telephone Number	:	516-922-6155
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 KAREN CT
Second Line	:
City	:	OYSTER BAY
State	:	NY
Zip	:	11771-2303
Country	:	US
Telephone Number	:	516-922-6155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2008
Last Update Date	:	07/19/2008

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