National Provider Identifier
Larry Spontaneo
Larry Spontaneo is listed in the NPPES registry with a primary specialty of Peer Specialist in Jamestown, NY and a listed phone number of (716) 329-1399.
Source: public NPPES record, last updated January 16, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1326859554
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- January 16, 2025
- Last Updated
- January 16, 2025
Practice Location
- 1400 S Main Street Ext
- Jamestown, NY 14701-9568
Phone: (716) 329-1399
Specialties
- Peer Specialist (175T00000X)
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Biography
Larry Spontaneo is a Jamestown-based peer support provider. His public professional background includes local nonprofit operations: Chautauqua County Humane Society annual reports identified him as manager of the 2nd Chances Thrift Store, and local coverage noted the store was an important revenue source for the organization’s community work.
Full Record
- NPI
- 1326859554
- Entity Type
- Individual
- Last Name
- Spontaneo
- First Name
- Larry
- Name Prefix
- Mr.
- Mailing Street Address
- 1400 S Main Street Ext
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9568
- Mailing Country
- US
- Mailing Phone
- (716) 329-1399
- Practice Street Address
- 1400 S Main Street Ext
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-9568
- Practice Country
- US
- Practice Phone
- (716) 329-1399
- Enumeration Date
- January 16, 2025
- Last Updated
- January 16, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)