Individual
MISS CAROL A ESPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 CEDAR ROAD, KINGS PARK, NY 11754
(631) 265-1030
Mailing address
PO BOX 549, SMITHTOWN, NY 11787-0549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1448748
NY
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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