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General NPI Number Information
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NPI Number | 1144483769
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Entity Type | Individual
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Provider Name | YOKAIRA A. ESPIRITUSANTO DPM
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 916 MAIN AVE STE 2A
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City | PASSAIC
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State | NJ
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Zip | 07055-8545
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Country | US
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Telephone | 973-495-3338
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Fax | 973-246-5765
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Provider Business Mailing Address
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Address Line | 159 HOWARD AVE
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City | PASSAIC
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State | NJ
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Zip | 07055-4511
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Country | US
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Telephone | 917-592-0651
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N006311-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00306600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00306600
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N006311-1
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License Number State | NY
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