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NPI Code Detail

MEDICARE: ALEXANDER ESPOSITO JR DC PLLC

MEDICARE: ALEXANDER ESPOSITO JR DC PLLC
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
1111NR0400XRehabilitation ChiropractorX010351NY

General Provider Information

NPI Number : 1356684484
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXANDER ESPOSITO JR DC PLLC
Provider Business Mailing Address
First Line : 1154 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3623
Country : US
Telephone Number : 718-448-9272
Fax Number : 718-448-9144
Provider Business Practice Location Address
First Line : 1154 VICTORY BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3623
Country : US
Telephone Number : 718-448-9272
Fax Number : 718-448-9144
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. ALEXANDER A ESPOSITO JR.
Credential : DC
Telephone Number : 718-448-9272
Provider Enumeration Date : 03/27/2013
Last Update Date : 03/27/2013

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