Organization
ENEIDA AGOSTO, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENEIDA AGOSTO-COLON M.D. (DIRECTOR)
(718) 507-5400
Entity
Organization
Contact information
Practice address
3755 72ND ST, JACKSON HEIGHTS, NY 11372-6144
(718) 507-5400
(718) 507-5422
Mailing address
3755 72ND ST, JACKSON HEIGHTS, NY 11372-6144
(718) 507-5400
(718) 507-5422
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
211512
NY
Other
Enumeration date
10/03/2006
Last updated
03/06/2012
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