Provider Demographics
NPI:1578018701
Name:ESPOSITO, DAWN E (RN)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:E
Last Name:ESPOSITO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:E
Other - Last Name:MORRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:57 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-3015
Mailing Address - Country:US
Mailing Address - Phone:631-736-1108
Mailing Address - Fax:
Practice Address - Street 1:57 OAKDALE AVE
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-3015
Practice Address - Country:US
Practice Address - Phone:631-736-1108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY571166163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse