Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 430313 | NY |
NPI | 1184894578 |
---|---|
Provider Name | Rhonda Lynn D'agostino |
First Address | Middletown, NY 10940-2650 |
Second Address | Middletown, NY 10940-2650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2008 |
Last Update Date | 24/07/2020 |