Healthcare Provider Details

I. General information

NPI: 1083790372
Provider Name (Legal Business Name): FRANCISCO AQUINO ESPINO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HICKSVILLE RD # A
NORTH MASSAPEQUA NY
11758-1249
US

IV. Provider business mailing address

6 PAMELA CT
PLAINVIEW NY
11803-5211
US

V. Phone/Fax

Practice location:
  • Phone: 516-541-2872
  • Fax: 516-541-2873
Mailing address:
  • Phone: 516-942-5633
  • Fax: 516-541-2873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number111263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: