Individual
JOSHUA JON D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0900
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026685
NY
363AS0400X
Surgical Physician Assistant
026685
NY
Other
Enumeration date
06/17/2021
Last updated
02/07/2025
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