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Individual

DR. MARILYN C AGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
107 W 90TH ST, TH-H, NEW YORK, NY 10024-1254
(212) 274-9180
(212) 219-3688
Mailing address
107 W 90TH ST, TH-H, NEW YORK, NY 10024-1254
(212) 274-9180
(212) 219-3688

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
171956
NY

Other

Enumeration date
03/14/2007
Last updated
02/05/2015
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