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.
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)
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)