Active NPI
Elizabeth Grace D'Agostino
- Speech-Language Pathologist
- Delanson, NY
National Provider Identifier
1386357614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2841 Thousand Acres Rd
Delanson, NY 12053-1917 - Phone
- (518) 875-6141
- NPI assigned
- Jan 2, 2023
- Last updated
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Mailing address
21 Erie Blvd
Apt 54
Albany, NY 12204
Phone (719) 244-1603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1386357614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 ERIE BLVD",
"address_2": "APT 54",
"city": "ALBANY",
"state": "NY",
"postal_code": "12204",
"telephone_number": "719-244-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AGOSTINO",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delanson, NY
- Anna Mary Woods Carbone-Harms
- Kristen Marie Carroll, B.A.
- Maureen Elizabeth Chico, SPEECH PATHOLOGIST
- Carolyn C. Clynes, MS, OTR/L
- Sandy Elizabeth Costello
- Elizabeth Jean Degroff, PT, DPT
- Jaimie Susan Dorfman
- Duanesburg Central School District
- Duanesburg Volunteer Ambulance Corps Inc (Duanesburg Ambulance)
- Jessica Ebert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.