Provider Demographics
NPI:1639860307
Name:ESPIRITU, CHRISTOPHER HERNANDEZ
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HERNANDEZ
Last Name:ESPIRITU
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 1:445 THOMPSON ST
Mailing Address - Street 2:APARTMENT H
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-489-6850
Mailing Address - Fax:201-489-6850
Practice Address - Street 1:445 THOMPSON ST
Practice Address - Street 2:APARTMENT H
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-489-6850
Practice Address - Fax:201-489-6850
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program