MEDICARE: ESPERANZA L HEMMINGS PA

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	363A00000X	Physician Assistant	003766	NY

General Provider Information

NPI Number	:	1245374867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESPERANZA L HEMMINGS PA

Provider Business Mailing Address
First Line	:	44 MARYTON RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2016
Country	:	US
Telephone Number	:	914-948-0806
Fax Number	:

Provider Business Practice Location Address
First Line	:	2432 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5204
Country	:	US
Telephone Number	:	718-817-7951
Fax Number	:

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/08/2007

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Directions to “ ESPERANZA L HEMMINGS PA” Practice Location

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