Provider Demographics
NPI:1255663340
Name:ESPINAL, CARLOS ALBERTI (CPHT)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:ALBERTI
Last Name:ESPINAL
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 WYCKOFF AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-4303
Mailing Address - Country:US
Mailing Address - Phone:718-497-3104
Mailing Address - Fax:718-456-5141
Practice Address - Street 1:167 WYCKOFF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4303
Practice Address - Country:US
Practice Address - Phone:718-497-3104
Practice Address - Fax:718-456-5141
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4801-0004-0112-756183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician