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NPI Code Detail

MEDICARE: DR. STEVEN ESPOSITO D.M.D.

MEDICARE:  DR. STEVEN  ESPOSITO  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry38696NY

General Provider Information

NPI Number : 1619970373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN ESPOSITO D.M.D.
Provider Business Mailing Address
First Line : 204 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1505
Country : US
Telephone Number : 518-885-5010
Fax Number : 518-885-4649
Provider Business Practice Location Address
First Line : 204 MALTA AVE
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1505
Country : US
Telephone Number : 518-885-5010
Fax Number : 518-885-4649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN ESPOSITO D.M.D.” Practice Location

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