Individual
MR. WALTER JOSEPH D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6729 MYRTLE AVE, GLENDALE, NY 11385-7063
(718) 456-7002
Mailing address
6729 MYRTLE AVE, GLENDALE, NY 11385-7063
(718) 456-7001
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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