Individual
MICHAEL A AGOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
601 S MAIN ST, NORTH SYRACUSE, NY 13212-3614
(315) 452-5580
(315) 452-5303
Mailing address
5700 W GENESEE ST STE 2, CAMILLUS, NY 13031-3260
(315) 468-1050
(315) 468-1201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013092
NY
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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