Healthcare Provider Details

I. General information

NPI: 1053943167
Provider Name (Legal Business Name): MS. CHRISTINA NICOLE ESPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 ROBBINS LN
SYOSSET NY
11791-6005
US

IV. Provider business mailing address

295 ROBBINS LN
SYOSSET NY
11791-6005
US

V. Phone/Fax

Practice location:
  • Phone: 516-888-9661
  • Fax: 212-439-1608
Mailing address:
  • Phone: 516-888-9661
  • Fax: 212-439-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number054739
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: