Healthcare Provider Details

I. General information

NPI: 1922893502
Provider Name (Legal Business Name): ADRIANNA ESPINOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 04/14/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 24TH ST
NEW YORK NY
10010-4020
US

IV. Provider business mailing address

PO BOX 5021
HOBOKEN NJ
07030-1501
US

V. Phone/Fax

Practice location:
  • Phone: 646-801-9293
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI03079900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: