Individual
COURTNEY FELICIA DAGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2246 31ST ST, APT 3B, ASTORIA, NY 11105-2786
(518) 567-1434
Mailing address
2246 31ST ST, APT 3B, ASTORIA, NY 11105-2786
(518) 567-1434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
590589121
NY
174400000X
Specialist
713199131
NY
Other
Enumeration date
07/31/2013
Last updated
04/06/2014
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