Individual
STACEY ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT
Contact information
Practice address
460 NORTH MAIN STREET, FREEPORT COMMUNITY HEALTH CENTER, FREEPORT, NY 11520
(516) 571-8600
(516) 571-8622
Mailing address
460 NORTH MAIN STREET, FREEPORT COMMUNITY HEALTH CENTER, FREEPORT, NY 11520
(516) 571-8600
(516) 571-8622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07982
HOSPITAL ID#
—
Enumeration date
02/18/2009
Last updated
02/18/2009
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