MEDICARE: DR. FRANCISCO AQUINO ESPINO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	111263	NY

General Provider Information

NPI Number	:	1083790372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO AQUINO ESPINO M.D.

Provider Business Mailing Address
First Line	:	6 PAMELA CT
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-5211
Country	:	US
Telephone Number	:	516-942-5633
Fax Number	:	516-541-2873

Provider Business Practice Location Address
First Line	:	900 HICKSVILLE RD # A
Second Line	:
City	:	NORTH MASSAPEQUA
State	:	NY
Zip	:	11758-1249
Country	:	US
Telephone Number	:	516-541-2872
Fax Number	:	516-541-2873

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2006
Last Update Date	:	11/29/2011

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