Healthcare Provider Details

I. General information

NPI: 1679945323
Provider Name (Legal Business Name): ARTHUR ESPINO R.N
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1795 LEXINGTON AVE
NEW YORK NY
10029-2866
US

IV. Provider business mailing address

137 E 26TH ST 4C
NEW YORK NY
10010-1809
US

V. Phone/Fax

Practice location:
  • Phone: 212-289-1788
  • Fax: 122-289-2430
Mailing address:
  • Phone: 917-226-9627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number484075
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: