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NPI Code Detail

MEDICARE: MR. DAVID ESPINOSA

MEDICARE:  MR. DAVID  ESPINOSA
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1558557298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID ESPINOSA
Provider Business Mailing Address
First Line : 2000 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3521
Country : US
Telephone Number : 718-377-5755
Fax Number : 718-377-0752
Provider Business Practice Location Address
First Line : 2000 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3521
Country : US
Telephone Number : 718-377-5755
Fax Number : 718-377-0752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2007
Last Update Date : 09/17/2007

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Directions to “ MR. DAVID ESPINOSA ” Practice Location

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