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Albert C Esposito

Podiatrist

Podiatric Medicine & Surgery Service Providers

31 Oak St, Suite #8, Patchogue, NY 11772-2841

PECOS Enrollment

This provider is enrolled in PECOS as ALBERT ESPOSITO.

Based on the most recent information from CMS, provider Albert C Esposito is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:59 AM.

Profile Details

Provider ID
1780794081
Provider Type
Individual
Full Name
Esposito, Albert C
Title
Dr.
Credential
D.P.M.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/30/2006
Last Updated
6/16/2010

Contact Information

Practice Location

31 Oak St, Suite #8, Patchogue, NY 11772-2841

(631) 475-0804

(631) 475-0806

Mailing Location

31 Oak St, Suite #8, Patchogue, NY 11772-2841

(631) 475-0804

(631) 475-0806

Provider Taxonomies

Code	Description	License
Code 213E00000X Primary	Description Podiatrist Podiatric Medicine & Surgery Service Providers	License 4079-1 New York

Provider Identifiers

ID	Description	Issuer
ID 01470566	Description Medicaid	Issuer Unlisted New York

Albert C Esposito

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Marotto, Richard

Axt, Steven B

New York University

Albert C Esposito

Zehentner, Joseph Michael

East Patchogue Podiatry P.C.

Houslanger, Neal P

Houslanger & Kassnove, Podiatrists, Pllc