Individual
MS. ALICE ELIZABETH AGOSTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.M.S.W.
Contact information
Practice address
115 CARLETON AVE, CENTRAL ISLIP, NY 11722-3676
(631) 234-7807
Mailing address
37 PEQUOT LN, EAST ISLIP, NY 11730-2715
(631) 224-2612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
068809
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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