MEDICARE: ADVANTAGE CARE MEDICINE PC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1699914051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE CARE MEDICINE PC

Provider Business Mailing Address
First Line	:	2960 GRAND CONCOURSE
Second Line	:	LOBBY 1
City	:	BRONX
State	:	NY
Zip	:	10458-1904
Country	:	US
Telephone Number	:	718-295-6815
Fax Number	:	718-295-6828

Provider Business Practice Location Address
First Line	:	2960 GRAND CONCOURSE
Second Line	:	LOBBY 1
City	:	BRONX
State	:	NY
Zip	:	10458-1904
Country	:	US
Telephone Number	:	718-295-6815
Fax Number	:	718-295-6828

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DARREN ESPOSITO
Credential	:	M.D.
Telephone Number	:	718-295-6815

Provider Enumeration Date	:	02/09/2009
Last Update Date	:	10/01/2010

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