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Individual
MR. MARIA D'AGOSTINO
Active
Individual
MR. MARIA D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
254879892
NY
103K00000X
Behavior Analyst
254879892
NY
174400000X
Specialist
Primary
254879892
NY
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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