Esposito, Russell
Esposito, Russell is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Suite 102, Latham NY 12110-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Esposito, Russell can be contacted via phone (518) 783-3110.Contact Information
Primary practice address
711 Troy Schenectady Rd Suite 102
Latham NY 12110-2442
Phone: (518) 783-3110
Fax: (518) 782-3816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 180794 | New York |
Profile Details
| NPI number | 1316027337 |
|---|---|
| LBN Legal business name | Esposito, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 6th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316027337 | NPPES |
| New York | MEDICAID | 01170236 |
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