Provider Demographics
NPI:1790275535
Name:ESPOSITO, SILVANNA (MD)
Entity Type:Individual
Prefix:
First Name:SILVANNA
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1727
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-1727
Mailing Address - Country:US
Mailing Address - Phone:970-263-2600
Mailing Address - Fax:970-263-2692
Practice Address - Street 1:731 IOWA AVE
Practice Address - Street 2:UNIT A
Practice Address - City:PALISADE
Practice Address - State:CO
Practice Address - Zip Code:81526-8661
Practice Address - Country:US
Practice Address - Phone:970-644-4050
Practice Address - Fax:970-644-3940
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2023-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY311593207Q00000X
CODR.0068952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000208126Medicaid