Healthcare Provider Details

I. General information

NPI: 1013841246
Provider Name (Legal Business Name): LARISA ESPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 5TH AVE 11TH FLOOR
NEW YORK NY
10001
US

IV. Provider business mailing address

220 5TH AVE 11TH FLOOR
NEW YORK NY
10001
US

V. Phone/Fax

Practice location:
  • Phone: 914-902-5055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: