Healthcare Provider Details

I. General information

NPI: 1689923278
Provider Name (Legal Business Name): DARLENE MARIE ESPOSITO BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W 32ND STREET 8TH FLOOR
NEW YORK NY
10001
US

IV. Provider business mailing address

17 WAKAN DRIVE
KATONAH NY
10536
US

V. Phone/Fax

Practice location:
  • Phone: 212-564-2350
  • Fax:
Mailing address:
  • Phone: 914-232-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: