Individual
JOSE ANTONIO AGUERO X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 HURLEY AVE, KINGSTON VA PRIMARY CARE CENTER, KINGSTON, NY 12401-2832
(845) 331-8322
Mailing address
18 GRACE AVE, LYNBROOK, NY 11563-1736
(516) 593-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
135489
NY
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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