Provider Demographics
NPI:1437258456
Name:ESPOSITO, ANTHONY JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 ROYCE STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:718-646-3708
Mailing Address - Fax:718-646-1434
Practice Address - Street 1:2305 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:718-646-3708
Practice Address - Fax:718-646-1434
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004882-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6200329OtherGHJ
NYP04882-8OtherWORKERS COMP
NY01281130Medicaid
NY6200329OtherGHJ
NY01281130Medicaid
NY4425980001Medicare NSC