Individual provider · Type 1 NPI

Carissa Lynn Agnello

Specialist · Melville, NY

NPI number 1992231435 Active

Practice location

583 Broadhollow Rd, Suite 202
Melville, NY 11747-5017

Call (631) 484-8920 Map

Mailing address

16 Larch St
Lake Ronkonkoma, NY 11779-4460

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X851929141 (NY)

Specialist: 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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About NPI 1992231435

Carissa Lynn Agnello's National Provider Identifier is 1992231435, issued on May 3, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on May 3, 2017.