Agin, Carole
Agin, Carole is an individual health care provider with primary practice located at 3 Delaware Drive , Lake Success NY 11042-3495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Agin, Carole can be contacted via phone (516) 622-6105.Contact Information
Primary practice address
3 Delaware Drive
Lake Success NY 11042-3495
Phone: (516) 622-6105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 174472 | New York |
Profile Details
| NPI number | 1285670125 |
|---|---|
| LBN Legal business name | Agin, Carole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jan 31st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285670125 | NPPES |
| New York | Other | 4214595 | AETNA |
| New York | Other | 8L0091 | AETNA |
| New York | MEDICAID | 01607469 | AETNA |
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