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Organization

AGASTIN MICHAEL, MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AGASTIN MICHAEL MD (OWNER)
(914) 740-7620
Entity
Organization

Contact information

Practice address
175 MEMORIAL HWY, SUITE 3-1, NEW ROCHELLE, NY 10801-5635
(914) 740-7620
(914) 740-7621
Mailing address
175 MEMORIAL HWY, SUITE 3-1, NEW ROCHELLE, NY 10801-5635
(914) 740-7620
(914) 740-7621

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
227576
NY

Other

Enumeration date
04/28/2008
Last updated
01/06/2012
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