Individual
MRS. HELENE E. D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
79 SEQUOIA WAY, HOLBROOK, NY 11741-5606
(631) 868-0625
Mailing address
2017 DEER PARK AVE, DEER PARK, NY 11729-2727
(631) 586-4766
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381821-1
NY
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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