Agoglia, Maureen

Agoglia, Maureen is an individual health care provider with primary practice located at 599 E Main St , Bay Shore NY 11706-8505. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Agoglia, Maureen can be contacted via phone (631) 666-2246.

Contact Information

Primary practice address
599 E Main St Bay Shore NY 11706-8505
Phone: (631) 666-2246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047532 New York

Profile Details

NPI number 1508047499
LBN Legal business name Agoglia, Maureen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508047499 NPPES
New York MEDICAID 01211843

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