Agosto, Mark

Agosto, Mark is an individual health care provider with primary practice located at 460 W 34Th St 11Th Floor, New York NY 10001-2320. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Agosto, Mark can be contacted via phone (212) 273-6100.

Contact Information

Primary practice address
460 W 34Th St 11Th Floor New York NY 10001-2320
Phone: (212) 273-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1730387127
LBN Legal business name Agosto, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Jul 8th, 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 1730387127 NPPES
New York Other 2249154 LICENSE NUMBER

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