Provider Demographics
NPI:1891793626
Name:ESPOSITO, RINALDO C (DC)
Entity Type:Individual
Prefix:DR
First Name:RINALDO
Middle Name:C
Last Name:ESPOSITO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 KINGSBORO AVE
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-2205
Mailing Address - Country:US
Mailing Address - Phone:518-773-7577
Mailing Address - Fax:518-773-7579
Practice Address - Street 1:153 KINGSBORO AVE
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-2205
Practice Address - Country:US
Practice Address - Phone:518-773-7577
Practice Address - Fax:518-773-7579
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003271-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
5486693OtherAETNA PIN
98L216OtherMVP HEALTH PLAN PIN
10000589OtherCAPITAL DISTRICT PHYSICIA
NY128376OtherMANAGED PHYSICAL NETWORK
3271OtherSHARED HEALTH NEYWORK PIN
P-54968220OtherMULTIPLAN ASSIGNED PIN
53268BMedicare PIN
10000589OtherCAPITAL DISTRICT PHYSICIA