Organization
JULIE MARIE AGRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE M AGRO P.T. (SOLE PROPRIETOR)
(716) 260-2003
Entity
Organization
Contact information
Practice address
4782 TONAWANDA CREEK RD, NORTH TONAWANDA, NY 14120-9534
(716) 491-1179
Mailing address
4782 TONAWANDA CREEK RD, NORTH TONAWANDA, NY 14120-9534
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
018398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02344512
—
NY
01
—
1194857599
NPI
NY
Enumeration date
11/16/2015
Last updated
11/16/2015
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