Provider Demographics
NPI:1083790372
Name:ESPINO, FRANCISCO AQUINO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:AQUINO
Last Name:ESPINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 PAMELA CT
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5211
Mailing Address - Country:US
Mailing Address - Phone:516-942-5633
Mailing Address - Fax:516-541-2873
Practice Address - Street 1:900 HICKSVILLE RD # A
Practice Address - Street 2:
Practice Address - City:NORTH MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-1249
Practice Address - Country:US
Practice Address - Phone:516-541-2872
Practice Address - Fax:516-541-2873
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111263174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB17854Medicare UPIN