MEDICARE: DR. CARMINE ESPOSITO M.S., D.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
1	111N00000X	Chiropractor	X1968	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CO1968-9	OTHER	NY	WORKER'S COMPENSATION

General Provider Information

NPI Number	:	1437362506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMINE ESPOSITO M.S., D.C.

Provider Business Mailing Address
First Line	:	3023 QUENTIN RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 QUENTIN RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234
Country	:	US
Telephone Number	:	718-627-1127
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	09/17/2012

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