Provider Demographics
NPI:1356684484
Name:ALEXANDER ESPOSITO JR DC PLLC
Entity Type:Organization
Organization Name:ALEXANDER ESPOSITO JR DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ESPOSITO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:718-448-9272
Mailing Address - Street 1:1154 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3623
Mailing Address - Country:US
Mailing Address - Phone:718-448-9272
Mailing Address - Fax:718-448-9144
Practice Address - Street 1:1154 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3623
Practice Address - Country:US
Practice Address - Phone:718-448-9272
Practice Address - Fax:718-448-9144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010351111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX5T991Medicare UPIN