Healthcare Provider Details

I. General information

NPI: 1316139165
Provider Name (Legal Business Name): STEPHEN P. ESPOSITO, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 08/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 FRANCIS LEWIS BLVD
FLUSHING NY
11358
US

IV. Provider business mailing address

2619 FRANCIS LEWIS BLVD
FLUSHING NY
11358
US

V. Phone/Fax

Practice location:
  • Phone: 718-224-7186
  • Fax: 718-224-1680
Mailing address:
  • Phone: 718-224-7186
  • Fax: 718-224-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN HOEY
Title or Position: MEDICAL BILLER
Credential:
Phone: 718-224-7186