Healthcare Provider Details

I. General information

NPI: 1255643953
Provider Name (Legal Business Name): JOSEPH KARIBO ESINTE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 SAINT OUEN ST FIRST FLOOR
BRONX NY
10470-1316
US

IV. Provider business mailing address

811 SAINT OUEN ST FIRST FLOOR
BRONX NY
10470-1316
US

V. Phone/Fax

Practice location:
  • Phone: 347-602-7782
  • Fax: 347-602-7782
Mailing address:
  • Phone: 347-602-7782
  • Fax: 347-602-7782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number558303
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: