Doctor Name: | DR. CARMEN A NATALI-AGOSTINI |
NPI Number: | 1629062591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA07309600 |
Business Practice Address: | 900 South Ave Staten Island, NY - 103143425 |
Business Phone Number: | 7187327334 |
Business Fax Number: | 2126855331 |
Mailing Address: | 260 5th Ave, Suite 12n NEW YORK |
State: | NY |
Postal Code: | 100016408 |
Phone Number: | 9177763496 |
Fax Number: | 2126855331 |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA07309600 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |