Healthcare Provider Details

I. General information

NPI: 1922984145
Provider Name (Legal Business Name): DANA ESPOSITO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3208 LATTA RD
ROCHESTER NY
14612-3084
US

IV. Provider business mailing address

516 OLD MILL LN
WEBSTER NY
14580-1213
US

V. Phone/Fax

Practice location:
  • Phone: 585-504-6504
  • Fax:
Mailing address:
  • Phone: 716-860-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383827
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: