Healthcare Provider Details

I. General information

NPI: 1407902067
Provider Name (Legal Business Name): LAURA M ESPOSITO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 03/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HILTON AVE SUITE 203
HEMPSTEAD NY
11550-8115
US

IV. Provider business mailing address

230 HILTON AVE SUITE 203
HEMPSTEAD NY
11550-8115
US

V. Phone/Fax

Practice location:
  • Phone: 516-280-7466
  • Fax: 516-280-7467
Mailing address:
  • Phone: 516-280-7466
  • Fax: 516-280-7467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number044469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: