Individual
AGNIESZKA VONSTRANDTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 HALF HOLLOW RD, DIX HILLS, NY 11746
(631) 673-7700
Mailing address
33 BROOKHAVEN BLVD, PORT JEFFERSON STATION, NY 11776-3005
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
227309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227309
—
NY
Enumeration date
02/27/2007
Last updated
07/08/2007
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