Individual
JANUARY CESAR AGOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 CATSKILL AVE, LINDENHURST, NY 11757-3252
(347) 735-2559
Mailing address
217 CATSKILL AVE, LINDENHURST, NY 11757-3252
(347) 735-2559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011722
NY
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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