Individual
AGUSTINA KATHY MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
888 VETERANS HWY STE 310, HAUPPAUGE, NY 11788-2940
(347) 951-3120
Mailing address
888 VETERANS HWY STE 310, HAUPPAUGE, NY 11788-2940
(347) 951-3120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/04/2026
Last updated
02/05/2026
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