D'Agostino, Lucille

D'Agostino, Lucille is an individual health care provider with primary practice located at 5 Lyon Pl , Ogdensburg NY 13669-2586. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. D'Agostino, Lucille can be contacted via phone (315) 393-2314.

Contact Information

Primary practice address
5 Lyon Pl Ogdensburg NY 13669-2586
Phone: (315) 393-2314
Fax: (315) 393-3873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 346045 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 346045 New York

Profile Details

NPI number 1477170702
LBN Legal business name D'Agostino, Lucille
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2020
Last updated Mar 22nd, 2022 - about 2 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 1477170702 NPPES
New York MEDICAID 06505311

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