Individual
MICHELE ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 HAWKINS AVE, SUITE 2, LAKE RONKONKOMA, NY 11779-4280
(631) 588-7004
Mailing address
2 HAMLET DR, HAUPPAUGE, NY 11788-3338
(631) 796-5051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008289
NY
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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