Individual provider · NPI-1

Theresa A Agostinelli, P.N.P.

Nurse Practitioner, Pediatrics · Rochester, NY

NPI number1306928551
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1306928551
Entity type
Individual (NPI-1)
Name
Mrs. Theresa A Agostinelli
Credential
P.N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 19, 2006
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF3810951NYYes

Practice location

900 Elmgrove Road
Rochester, NY 14624-6236

Phone 585-426-4100 · Fax 585-426-3701

Mailing address

900 Elmgrove Road
Rochester, NY 14624-6236

Phone 585-426-4100 · Fax 585-426-3701

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