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Individual

DR. SUSAN E ESPOSITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 651-8370
Mailing address
10 CRESTFIELD PL, NORTHPORT, NY 11768-2031
(631) 651-8370

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
240771
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400433700
MD
01
60609101
BLUE CROSS
MD
01
P00168808
RAILROAD MEDICARE
MD
Enumeration date
06/12/2006
Last updated
08/21/2008
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