Healthcare Provider Details

I. General information

NPI: 1427682350
Provider Name (Legal Business Name): BRIAN FRANCIS ESPOSITO PMHNP-BC, ACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2020
Last Update Date: 02/29/2020
Certification Date: 02/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 E 70TH ST APT 27H
NEW YORK NY
10021-5349
US

IV. Provider business mailing address

435 E 70TH ST APT 27H
NEW YORK NY
10021-5349
US

V. Phone/Fax

Practice location:
  • Phone: 631-882-8521
  • Fax:
Mailing address:
  • Phone: 631-882-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number402908
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: