Provider Demographics
NPI:1235140351
Name:ESPOSITO, EDWARD LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:LOUIS
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 WEST AVE APT 2705
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-0911
Mailing Address - Country:US
Mailing Address - Phone:305-588-7646
Mailing Address - Fax:201-795-0148
Practice Address - Street 1:1330 WEST AVE APT 2705
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-0911
Practice Address - Country:US
Practice Address - Phone:305-588-7646
Practice Address - Fax:201-795-0148
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00649400111N00000X
NY009573111N00000X
FLCH13501111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYEE0X996910Medicare ID - Type Unspecified