1467573642 NPI number — CLEOPATRA Y ESPINOSA MS, DPT

Table of content: CLEOPATRA Y ESPINOSA MS, DPT (NPI 1467573642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467573642 NPI number — CLEOPATRA Y ESPINOSA MS, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESPINOSA
Provider First Name:
CLEOPATRA
Provider Middle Name:
Y
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467573642
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3010 WESTCHESTER AVENUE- SUITE 107
Provider Second Line Business Mailing Address:
SUITE 107
Provider Business Mailing Address City Name:
PURCHASE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10577
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-328-3888
Provider Business Mailing Address Fax Number:
914-328-2228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3010 WESTCHESTER AVENUE- SUITE 107
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
PURCHASE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10577
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-328-3888
Provider Business Practice Location Address Fax Number:
914-328-2228
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251E1300X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251G0304X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251H1200X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251N0400X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251S0007X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251X0800X , with the licence number: 019466-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 0194661 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 19466 . This is a "HIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7326527 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 30265 . This is a "CMO (HMO) MONTEFIORE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P3103300 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000039298 . This is a "AFFINITY HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1950657 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 50501 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6697755 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: OH3254 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02018835 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2119568 . This is a "FIRST HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: Q01S71 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 019466-A14 . This is a "HEALTH FIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 806035 . This is a "MPN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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