Individual
TYLER D'AGOSTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 FRANKLIN AVE, WYCKOFF, NJ 07481-1909
(718) 836-6600
Mailing address
350 FRANKLIN AVE, WYCKOFF, NJ 07481-1909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
009900
NY
152W00000X
Optometrist
Primary
27OA00727200
NJ
Other
Enumeration date
06/20/2023
Last updated
10/22/2024
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