| Doctor Name: | MR. LOUIS J. SPAGNOLA |
| NPI Number: | 1669579629 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | F337825-1 |
| Business Practice Address: | 1145 Route 55 Suite 4 Lagrangeville, NY - 125405042 |
| Business Phone Number: | 8454525200 |
| Business Fax Number: | 8454830824 |
| Mailing Address: | 1145 Route 55, Suite 4 LAGRANGEVILLE |
| State: | NY |
| Postal Code: | 125405042 |
| Phone Number: | 8454525200 |
| Fax Number: | 8454830824 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F337825-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |