Individual
GISEL AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 PARK AVE, 3RD FLOOR, HUNTINGTON, NY 11743-2803
(631) 271-3591
(631) 271-5497
Mailing address
423 PARK AVE, 3RD FLOOR, HUNTINGTON, NY 11743-2803
(631) 271-3591
(631) 271-5497
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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