MEDICARE: ESPOSITO & WRIGHT MEDICAL ASSOCIATES, LLC

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	207R00000X	Internal Medicine Physician	233505	NY

General Provider Information

NPI Number	:	1336253384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESPOSITO & WRIGHT MEDICAL ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2960 GRAND CONCOURSE
Second Line	:	SUITE L1
City	:	BRONX
State	:	NY
Zip	:	10458-1904
Country	:	US
Telephone Number	:	718-295-6815
Fax Number	:	718-295-6828

Provider Business Practice Location Address
First Line	:	2960 GRAND CONCOURSE
Second Line	:	SUITE 1L
City	:	BRONX
State	:	NY
Zip	:	10458-1904
Country	:	US
Telephone Number	:	718-295-6815
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DARREN ESPOSITO
Credential	:	MD
Telephone Number	:	718-295-6815

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	10/01/2010

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