Ross Agostinelli
Pharmacist in Long Beach, NY. Individual provider (NPI-1).
NPI number1780908236
StatusActive
Last updated in NPPESMar 25, 2010
Details
- NPI
- 1780908236
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ross Agostinelli
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2010
- Last updated
- Mar 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 045316-1 | NY | Yes |
Practice location
790 Park PlLong Beach, NY 11561-2111
Phone 516-536-0800 · Fax 516-889-4500
Mailing address
790 Park PlLong Beach, NY 11561-2111
Phone 516-536-0800 · Fax 516-889-4500
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