Individual
JAMES D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
750 E ADAMS ST, EMERGENCY MEDICINE, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
189886
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
189886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01520598
—
NY
Enumeration date
04/26/2006
Last updated
04/08/2011
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