| Doctor Name: | MR. ROBERT JOHN SPANO |
| NPI Number: | 1205168556 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 548615-1 |
| Business Practice Address: | 4 Stonewall Farm Rd Mahopac, NY - 105412619 |
| Business Phone Number: | 9144384801 |
| Business Fax Number: | |
| Mailing Address: | 4 Stonewall Farm Rd, MAHOPAC |
| State: | NY |
| Postal Code: | 105412619 |
| Phone Number: | 9144384801 |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2010 |
| NPI Last Update Date: | 02/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WR0400X |
| License Number: | 548615-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |