Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 2251S0007X | Physical Therapist - Sports | 035172-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1528496692 |
---|---|
Provider Name | Dr. Jeffrey Robert Espinoza |
First Address | Ozone Park, NY 11417 |
Second Address | Ozone Park, NY 11417-1345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2013 |
Last Update Date | 28/10/2013 |