Provider Demographics
NPI:1861259582
Name:ESPINAL, NOEMY CENTER
Entity type:Individual
Prefix:
First Name:NOEMY
Middle Name:CENTER
Last Name:ESPINAL
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 1:460 OLD TOWN RD APT 10C
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-2220
Mailing Address - Country:US
Mailing Address - Phone:917-861-0710
Mailing Address - Fax:
Practice Address - Street 1:460 OLD TOWN RD APT 10C
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-2220
Practice Address - Country:US
Practice Address - Phone:917-861-0710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program