MEDICARE: DARREN ESPOSITO MD

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	:	1710091756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARREN ESPOSITO MD

Provider Business Mailing 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	:	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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	01/17/2024

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