Individual
DR. MARC ADAM AGULNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 470, MINEOLA, NY 11501-4235
(516) 739-9270
(516) 248-1727
Mailing address
PO BOX 303, FRANKLIN SQUARE, NY 11010-0303
(516) 739-9270
(516) 248-1727
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
230967-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267363
—
NY
Enumeration date
10/20/2005
Last updated
07/06/2009
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