Provider Demographics
NPI:1053943167
Name:ESPOSITO, CHRISTINA NICOLE
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:NICOLE
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 ROBBINS LN
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6005
Mailing Address - Country:US
Mailing Address - Phone:516-888-9661
Mailing Address - Fax:212-439-1608
Practice Address - Street 1:295 ROBBINS LN
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6005
Practice Address - Country:US
Practice Address - Phone:516-888-9661
Practice Address - Fax:212-439-1608
Is Sole Proprietor?:No
Enumeration Date:2020-02-06
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
NY054739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer