Individual
DR. JOHN AGRESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-3000
(518) 926-3127
Mailing address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-3000
(518) 926-3127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256064
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2007
Last updated
01/05/2011
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