Individual
DR. ENEIDA AGOSTO-COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3713 85TH ST BSMT, JACKSON HEIGHTS, NY 11372-7352
(718) 507-5400
(718) 507-5422
Mailing address
3713 85TH ST BSMT, JACKSON HEIGHTS, NY 11372-7352
(718) 507-5400
(718) 507-5422
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
211512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02129564
—
NY
Enumeration date
10/06/2006
Last updated
06/19/2014
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