Individual
COURTNEY MICHAEL AGOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
162 GREENBELT PKWY, HOLBROOK, NY 11741-4440
(631) 664-2136
Mailing address
162 GREENBELT PKWY, HOLBROOK, NY 11741-4440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347378-01
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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