Individual
MR. NOLY G. AGDINAOAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
339 HICKS ST, DEPT. OF EMERGENCY MEDICINE-LONG ISLAND COLLEGE HOSP, BROOKLYN, NY 11201-5509
(718) 780-4764
Mailing address
821 THROGGS NECK EXPY, BRONX, NY 10465-2320
(718) 794-4117
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381687
NY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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