D'Agostino, James

D'Agostino, James is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. D'Agostino, James can be contacted via phone (315) 464-4363.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Fax: (315) 464-8690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 189886 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 189886 New York

Profile Details

NPI number 1669438685
LBN Legal business name D'Agostino, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 8th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669438685 NPPES
New York MEDICAID 01520598

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