Anthony Agostino
Individual provider Active NPI Specialist · Westbury, NY
NPI 1033933189 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1033933189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156 - Phone
- (631) 463-4717
- NPI assigned
- Nov 14, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
Mailing address
1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.