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Agata Staritsky
Student in an Organized Health Care Education/Training Program in Great Neck, New York
NPI 1053970764

Agata Staritsky is a Student in an Organized Health Care Education/Training Program based in Flushing, NY. Agata Staritsky practices in Great Neck, NY. The NPI Number for Agata Staritsky is 1053970764 and holds a License No. (New York).

The current practice location address for Agata Staritsky is 800 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-829-9666 and via fax at 516-482-0692. You can also correspond with Agata Staritsky through the mailing address at 14202 20TH AVE, FLUSHING, NY - 11351-3000 (mailing address contact number: 516-829-9666).

Location: 800 Northern Blvd, Great Neck, NY, 11351-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053970764
Provider Name
Agata Staritsky
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 Northern Blvd, Great Neck, NY, 11351-3000
Phone Number
516-829-9666
Fax Number
516-482-0692
Provider Enumeration Date
06/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5340
Phone Number
516-829-9666
Fax Number
516-482-0692
person
Provider Business Mailing Address Details
Address
800 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5340
Phone Number
516-829-9666
Fax Number
516-482-0692
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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