Basic Information
Provider Information
NPI: 1073833687
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPOSATO
FirstName: KRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DAVIS AT EAST POST ROAD
Address2: HOSPITALIST DEPARTMENT-SUITE 2160
City: WHITE PLAINS
State: NY
PostalCode: 10601
CountryCode: US
TelephoneNumber: 9146812560
FaxNumber: 9146812590
Practice Location
Address1: DAVIS AVE AT E POST RD
Address2: HOSPITALIST DEPARTMENT-SUITE 2160
City: WHITE PLAINS
State: NY
PostalCode: 106014615
CountryCode: US
TelephoneNumber: 9146812560
FaxNumber: 9146812590
Other Information
ProviderEnumerationDate: 06/04/2010
LastUpdateDate: 06/04/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X528163-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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