Individual
CHRISTINA JEAN D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 WHITE SPRUCE BLVD, SUITE 220, ROCHESTER, NY 14623
(585) 279-5100
(585) 424-1008
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-0001
(585) 279-5100
(585) 424-1008
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
337587
NY
363LF0000X
Family Nurse Practitioner
Primary
337587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03500332
—
NY
Enumeration date
10/01/2012
Last updated
03/21/2023
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