Individual
MR. CHRISTOPHER ANTHONY D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 SEQUOIA WAY, HOLBROOK, NY 11741
(631) 868-0625
Mailing address
79 SEQUOIA WAY, HOLBROOK, NY 11741
(631) 486-8062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2203897
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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