MEDICARE: DR. ALEXANDER ANTHONY ESPOSITO JR. 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	111NS0005X	Sports Physician Chiropractor	X010351	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NY10304	OTHER	NY	LANDMARK
2	X010351-7	OTHER	NY	WORKERS' COMPENSATION
3	3484669	OTHER	NY	AETNA
4	5807629	OTHER	NY	GHI
5	P3207038	OTHER	NY	OXFORD
6	659248	OTHER	NY	UNITED HEALTHCARE
7	659248	OTHER	NY	HEALTH FIRST
8	659248	OTHER	NY	GE WELL

General Provider Information

NPI Number	:	1780730077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER ANTHONY ESPOSITO JR. D.C.

Provider Business Mailing Address
First Line	:	86 OCEAN TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5650
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. ALEXANDER ANTHONY ESPOSITO JR. D.C.” Practice Location

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