Individual
MYRNA AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.P.
Contact information
Practice address
7520 ASTORIA BLVD, EAST ELMHURST, NY 11370-1131
(718) 888-6788
(718) 565-8302
Mailing address
13340 132ND ST, SOUTH OZONE PARK, NY 11420-3807
(718) 322-1747
(718) 565-8392
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
400605
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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