Individual
DR. CAROLE AGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 DELAWARE DRIVE, LAKE SUCCESS, NY 11042-3495
(516) 622-6105
Mailing address
2800 MARCUS AVENUE, LAKE SUCCESS, NY 11042
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
174472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01607469
—
NY
01
—
4214595
AETNA
NY
01
—
8L0091
EMPIRE BC.BS
NY
Enumeration date
06/21/2006
Last updated
01/31/2012
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