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NPI Code Detail

MEDICARE: CLAUDIA ANN SPICOLA

MEDICARE:   CLAUDIA ANN SPICOLA
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
1183700000XPharmacy Technician1726031NY

General Provider Information

NPI Number : 1235820333
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA ANN SPICOLA
Provider Business Mailing Address
First Line : 8079 N MAIN ST
Second Line :
City : EDEN
State : NY
Zip : 14057-1118
Country : US
Telephone Number : 716-992-9734
Fax Number : 716-992-4886
Provider Business Practice Location Address
First Line : 8079 N MAIN ST
Second Line :
City : EDEN
State : NY
Zip : 14057-1118
Country : US
Telephone Number : 716-992-9734
Fax Number : 716-992-4886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2023
Last Update Date : 05/18/2023

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Directions to “ CLAUDIA ANN SPICOLA ” Practice Location

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