NPI 1326859554

Larry Spontaneo

Practitioner Peer Specialist Jamestown, NY

Practice location

Address: 1400 S Main Street Ext, Jamestown, NY 14701-9568
Phone: (716) 329-1399

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1326859554
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2025
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.