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Ms. Carissa Lynn Agnello
Specialist in Melville, New York
NPI 1992231435

Carissa Lynn Agnello is a Specialist based in Lake Ronkonkoma, NY. Carissa Lynn Agnello practices in Melville, NY. The NPI Number for Carissa Lynn Agnello is 1992231435 and holds a License No. 851929141 (New York).

The current practice location address for Carissa Lynn Agnello is 583 Broadhollow Rd, Melville, NY and can be reached out via phone at 631-484-8920.

Location: 583 Broadhollow Rd, Melville, NY, 11779-4460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992231435
Provider Name
Carissa Lynn Agnello
Credential
Provider Entity Type
Individual
Gender
Female
Address
583 Broadhollow Rd, Melville, NY, 11779-4460
Phone Number
631-484-8920
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
583 Broadhollow Rd
City
Melville
State
New York
Zip
11747-5017
Phone Number
631-484-8920
Fax Number
person
Provider Business Mailing Address Details
Address
583 Broadhollow Rd
City
Melville
State
New York
Zip
11747-5017
Phone Number
631-484-8920
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
851929141 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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