Individual
DANIEL DOMINICK AGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
310 TAUGHANNOCK BLVD STE 1C, ITHACA, NY 14850-3251
(607) 252-3500
(607) 252-3505
Mailing address
310 TAUGHANNOCK BLVD STE 1C, ITHACA, NY 14850-3251
(607) 252-3500
(607) 252-3505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030031-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332729
—
NY
Enumeration date
06/01/2010
Last updated
06/01/2010
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