Provider Demographics
NPI:1417300138
Name:ESPOSITO, RHONDA MAE (NP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:MAE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:MAE
Other - Last Name:ALQOUTOB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:518-525-5634
Mailing Address - Fax:518-649-4094
Practice Address - Street 1:433 RIVER ST STE 3000
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2250
Practice Address - Country:US
Practice Address - Phone:518-279-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04502847Medicaid
NYJ400332844Medicare PIN