Healthcare Provider Details

I. General information

NPI: 1497912422
Provider Name (Legal Business Name): MICHAEL M ESPIRITU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST HT5
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

1320 YORK AVE 14D
NEW YORK NY
10021-4800
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-3320
  • Fax:
Mailing address:
  • Phone: 646-623-7392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number246226
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: