Provider Demographics
NPI:1326590845
Name:ESPOSITO, RALPH JR (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:ESPOSITO
Suffix:JR
Gender:
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W PUTNAM AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6096
Mailing Address - Country:US
Mailing Address - Phone:201-366-2890
Mailing Address - Fax:
Practice Address - Street 1:500 W PUTNAM AVE STE 400
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6096
Practice Address - Country:US
Practice Address - Phone:203-366-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000575175F00000X
CAND1296175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopath