Individual
JENNIFER D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
250 N 2ND ST, RONKONKOMA, NY 11779-3731
(631) 737-4551
(631) 585-4269
Mailing address
250 N 2ND ST, RONKONKOMA, NY 11779-3731
(631) 737-4551
(631) 585-4269
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
008963-1
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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