Individual
PAULINE AGREGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8720 175TH ST APT 1P, JAMAICA, NY 11432-5700
(718) 487-4342
Mailing address
8720 175TH ST APT 1P, JAMAICA, NY 11432-5700
(718) 487-4342
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
026455
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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