Dr. Juan Carlos Espinoza
Adolescent Medicine
27 Wicks Rd
Brentwood
, New York 11717-4213
Dr. Juan Carlos Espinoza
Adolescent Medicine
27 Wicks Rd
Brentwood
, New York 11717-4213
(631) 689-2314
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Juan Carlos Espinoza
- 233 Old Town Rd
- Setauket, NY
- Zip : 11733-2604
- Phone : (631) 689-2314
Second Address
- Dr. Juan Carlos Espinoza
- 27 Wicks Rd
- Brentwood, NY
- Zip : 11717-4213
- Phone : (631) 231-5070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 224588-1 | NY |
National Provider Identifier
| NPI | 1114097607 |
|---|---|
| Provider Name | Dr. Juan Carlos Espinoza |
| First Address | Setauket, NY 11733-2604 |
| Second Address | Brentwood, NY 11717-4213 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02282364 | (05) | NY |
| H71620 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.