MEDICARE: CATHERINE T SPILBERG NP

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	363LA2200X	Adult Health Nurse Practitioner	F304340-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235247305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE T SPILBERG NP

Provider Business Mailing Address
First Line	:	105 CANAL LANDING BLVD
Second Line	:	SUITE 1
City	:	ROCHESTER
State	:	NY
Zip	:	14626-5107
Country	:	US
Telephone Number	:	585-368-4050
Fax Number	:	585-723-6705

Provider Business Practice Location Address
First Line	:	105 CANAL LANDING BLVD
Second Line	:	SUITE 1
City	:	ROCHESTER
State	:	NY
Zip	:	14626-5107
Country	:	US
Telephone Number	:	585-368-4050
Fax Number	:	585-723-6705

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	12/09/2015

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