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Daniel Dominick Agnese, PT, DPT, CSCS

Physical Therapist in Ithaca, NY. Individual provider (NPI-1).

NPI number1629397641
StatusActive
Last updated in NPPESJun 1, 2010

Details

NPI
1629397641
Entity type
Individual (NPI-1)
Name
Daniel Dominick Agnese
Credential
PT, DPT, CSCS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2010
Last updated
Jun 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist030031-1NYYes

Practice location

310 Taughannock Blvd Ste 1c
Ithaca, NY 14850-3251

Phone 607-252-3500 · Fax 607-252-3505

Mailing address

310 Taughannock Blvd Ste 1c
Ithaca, NY 14850-3251

Phone 607-252-3500 · Fax 607-252-3505

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