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Individual

RONALD D ESPINOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4250 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5711
(516) 350-0911
Mailing address
16 CHICKADEE LN, LEVITTOWN, NY 11756-2126
(917) 903-7154

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
248835
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
248835
NY

Other

Enumeration date
07/25/2008
Last updated
08/25/2011
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