Healthcare Provider Details

I. General information

NPI: 1669824884
Provider Name (Legal Business Name): NANCY ESPINAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 07/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 SHAKESPEARE AVE
BRONX NY
10452-1851
US

IV. Provider business mailing address

230 SEAMAN AVE APT. 3D
NEW YORK NY
10034-1293
US

V. Phone/Fax

Practice location:
  • Phone: 718-732-7080
  • Fax:
Mailing address:
  • Phone: 646-281-5424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: