Provider Demographics
NPI:1699846022
Name:D AGOSTINO, FRANK A (PT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:D AGOSTINO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 PINE AVE
Mailing Address - Street 2:ACCESS PHYSICAL THERAPY
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-2338
Mailing Address - Country:US
Mailing Address - Phone:716-284-4474
Mailing Address - Fax:716-284-4844
Practice Address - Street 1:2316 PINE AVE
Practice Address - Street 2:ACCESS PHYSICAL THERAPY
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2338
Practice Address - Country:US
Practice Address - Phone:716-284-4474
Practice Address - Fax:716-284-4844
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0170751225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000528779001OtherBCBS WNY
NY9314139OtherIHA
NY9314139OtherIHA