Individual
MEGAN AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(516) 569-7890
Mailing address
5015 39THST, 2F, SUNNYSIDE, NY 11104
(917) 332-6377
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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