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Individual

MS. CONSUELO ELIZABETH D'AGOSTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(626) 826-8981
(212) 342-1081
Mailing address
1072 LORIMER ST APT 2R, BROOKLYN, NY 11222-2615
(626) 826-8981

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
017368
NY

Other

Enumeration date
02/14/2014
Last updated
07/07/2025
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