Provider Demographics
NPI:1912210691
Name:ESPOSITO, DONNA MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MICHELLE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 WESTAGE BUSINESS CTR DR STE 110
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2269
Mailing Address - Country:US
Mailing Address - Phone:845-896-9280
Mailing Address - Fax:845-896-0246
Practice Address - Street 1:200 WESTAGE BUSINESS CTR DR STE 110
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2269
Practice Address - Country:US
Practice Address - Phone:845-896-9280
Practice Address - Fax:458-960-2468
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY254681-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology