Agostinelli, Theresa A

Agostinelli, Theresa A is an individual health care provider with primary practice located at 900 Elmgrove Road , Rochester NY 14624-6236. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Agostinelli, Theresa A can be contacted via phone (585) 426-4100.

Contact Information

Primary practice address
900 Elmgrove Road Rochester NY 14624-6236
Phone: (585) 426-4100
Fax: (585) 426-3701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F3810951 New York

Profile Details

NPI number 1306928551
LBN Legal business name Agostinelli, Theresa A
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Feb 4th, 2015 - about 9 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 1306928551 NPPES
New York Other 01725 BLUE SHIELD OF ROCHESTER
New York MEDICAID 01903277 BLUE SHIELD OF ROCHESTER
New York Other 4129731 BLUE SHIELD OF ROCHESTER
New York Other 4129731 BLUE SHIELD OF ROCHESTER
New York Other RC60164923 BLUE SHIELD OF ROCHESTER
New York Other 4334391 BLUE SHIELD OF ROCHESTER
New York Other Y028938 BLUE SHIELD OF ROCHESTER
New York Other 4334391 BLUE SHIELD OF ROCHESTER
New York Other NP0023 BLUE SHIELD OF ROCHESTER
New York Other P010164923 BLUE SHIELD OF ROCHESTER
New York Other P010164923 BLUE SHIELD OF ROCHESTER

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