Individual
DR. GAGARINI TITOV ESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, LENOX HILL HOSPITAL, RADIOLOGY DEPARTMENT, 3RD FLOOR, NEW YORK, NY 10075-1850
(212) 434-2685
(212) 434-2945
Mailing address
100 E 77TH ST, LENOX HILL HOSPITAL, RADIOLOGY DEPARTMENT, 3RD FLOOR, NEW YORK, NY 10075-1850
(212) 434-2685
(212) 434-2945
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD432789
PA
2085N0904X
Nuclear Radiology Physician
MD432789
PA
2085R0202X
Diagnostic Radiology Physician
Primary
180989
NY
2085R0202X
Diagnostic Radiology Physician
MD432789
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD432789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001886747
—
PA
05
—
01600004
—
NY
05
—
035836300
—
MD
01
—
1583308
GATEWAY-WMG
PA
01
—
20077142
AMERIHEALTH MERCY-WMG
PA
01
—
2076065
HIGHMARK BLUE SHIELD-WMG
PA
01
—
258292
UNISON
PA
01
—
919374
CAREFIRST MD BCBS-WMG
MD
Enumeration date
08/25/2005
Last updated
10/13/2014
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