Provider Demographics
NPI:1518282995
Name:ESPINOSA, FRANK J
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 FLEETWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1757
Mailing Address - Country:US
Mailing Address - Phone:631-544-4241
Mailing Address - Fax:516-379-3387
Practice Address - Street 1:51 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3854
Practice Address - Country:US
Practice Address - Phone:516-379-3333
Practice Address - Fax:516-379-3387
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist