Provider Demographics
NPI:1467662924
Name:ESPOSITO, LOUIS ANGELO (MA)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ANGELO
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4010
Mailing Address - Country:US
Mailing Address - Phone:718-768-1282
Mailing Address - Fax:
Practice Address - Street 1:365 11TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4010
Practice Address - Country:US
Practice Address - Phone:718-768-1282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000765102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst