Provider Demographics
NPI:1124993027
Name:ESPOSITO, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 CLEAR MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:NY
Mailing Address - Zip Code:14065-9729
Mailing Address - Country:US
Mailing Address - Phone:716-955-9138
Mailing Address - Fax:
Practice Address - Street 1:1715 CLEAR MEADOW DR
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:NY
Practice Address - Zip Code:14065-9729
Practice Address - Country:US
Practice Address - Phone:716-955-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist