Provider Demographics
NPI:1295818920
Name:ESPOSITO, ANTONIO R (RPT)
Entity Type:Individual
Prefix:MR
First Name:ANTONIO
Middle Name:R
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BELVEDERE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3913
Mailing Address - Country:US
Mailing Address - Phone:203-234-8729
Mailing Address - Fax:
Practice Address - Street 1:500 KNOTTER DR # 303-36
Practice Address - Street 2:PRATT AND WHITNEY
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1140
Practice Address - Country:US
Practice Address - Phone:203-250-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist