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NPI Code Detail

MEDICARE: EPIGNOSIS SPECIALTY PRACTICE P.C.

MEDICARE: EPIGNOSIS SPECIALTY PRACTICE P.C.
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
1305S00000XPoint of Service211598NY

General Provider Information

NPI Number : 1346274206
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPIGNOSIS SPECIALTY PRACTICE P.C.
Provider Business Mailing Address
First Line : 320 WILSON ST
Second Line : SUITE 2
City : WEST HEMPSTEAD
State : NY
Zip : 11552-2019
Country : US
Telephone Number : 516-485-5864
Fax Number : 516-485-0151
Provider Business Practice Location Address
First Line : 320 WILSON ST
Second Line : SUITE 2
City : WEST HEMPSTEAD
State : NY
Zip : 11552-2019
Country : US
Telephone Number : 516-485-5864
Fax Number : 516-485-0151
Authorized Official
Title or Position : MD
Name : DR. OLANREWAJU ESAN
Credential :
Telephone Number : 516-485-5864
Provider Enumeration Date : 07/10/2006
Last Update Date : 09/12/2008

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Directions to “EPIGNOSIS SPECIALTY PRACTICE P.C. ” Practice Location

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