Healthcare Provider Details

I. General information

NPI: 1518282995
Provider Name (Legal Business Name): MR. FRANK J ESPINOSA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2010
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 S MAIN ST
FREEPORT NY
11520-3854
US

IV. Provider business mailing address

16 FLEETWOOD RD
COMMACK NY
11725-1757
US

V. Phone/Fax

Practice location:
  • Phone: 516-379-3333
  • Fax: 516-379-3387
Mailing address:
  • Phone: 631-544-4241
  • Fax: 516-379-3387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number032466
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: