Agin, Carole

Agin, Carole is an individual health care provider with primary practice located at 3 Delaware Drive , Lake Success NY 11042-3495. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Agin, Carole can be contacted via phone (516) 622-6105.

Contact Information

Primary practice address
3 Delaware Drive Lake Success NY 11042-3495
Phone: (516) 622-6105
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 174472 New York

Profile Details

NPI number 1285670125
LBN Legal business name Agin, Carole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 31st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285670125 NPPES
New York Other 4214595 AETNA
New York Other 8L0091 AETNA
New York MEDICAID 01607469 AETNA

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