ESP ENTERPRISE SUPPORT PROFESSIONALS, INC.

Provider Demographics

• NPI: 1144668062
• Name: ESP ENTERPRISE SUPPORT PROFESSIONALS, INC.
• Entity type: Organization
• Organization Name: ESP ENTERPRISE SUPPORT PROFESSIONALS, INC.
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: MR
• Authorized Official - First Name: NICK
• Authorized Official - Middle Name: GEORGE
• Authorized Official - Last Name: HAZAPIS
• Authorized Official - Phone: 646-233-1519
• Mailing Address - Street 1: 3128 55TH ST
• Mailing Address - City: WOODSIDE
• Mailing Address - State: NY
• Mailing Address - Zip Code: 11377-1518
• Mailing Address - Country: US
• Mailing Address - Phone: 646-233-1519
• Mailing Address - Fax: 212-222-2878
• Practice Address - Street 1: 3128 55TH ST
• Practice Address - City: WOODSIDE
• Practice Address - State: NY
• Practice Address - Zip Code: 11377-1518
• Practice Address - Country: US
• Practice Address - Phone: 646-233-1519
• Practice Address - Fax: 212-222-2878
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-06-13
• Last Update Date: 2013-06-13

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TA0700X	Behavioral Health & Social Service Providers	Psychologist	Adult Development & Aging	Group - Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	103TP0016X	Behavioral Health & Social Service Providers	Psychologist	Prescribing (Medical)	Group - Multi-Specialty
No	103TP0814X	Behavioral Health & Social Service Providers	Psychologist	Psychoanalysis	Group - Multi-Specialty
No	102L00000X	Behavioral Health & Social Service Providers	Psychoanalyst		Group - Multi-Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Multi-Specialty
No	103TA0400X	Behavioral Health & Social Service Providers	Psychologist	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0200X	Behavioral Health & Social Service Providers	Psychologist	Forensic	Group - Multi-Specialty