Individual
AMY AGIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CDN, IBCLC
Contact information
Practice address
10 ELIZABETH PL, WEST ISLIP, NY 11795-4318
(646) 416-3461
Mailing address
10 ELIZABETH PL, WEST ISLIP, NY 11795-4318
(646) 416-3461
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
03/31/2013
Last updated
03/31/2013
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