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General NPI Number Information
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NPI Number | 1003320508
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Entity Type | Organization
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Legal Business Name | TOM D'AGOSTINO PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 5 PINE WEST PLZ STE 512
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City | ALBANY
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State | NY
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Zip | 12205-5587
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Country | US
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Telephone | 914-438-3991
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PINE WEST PLZ STE 512
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City | ALBANY
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State | NY
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Zip | 12205-5587
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Country | US
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Telephone | 914-438-3991
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/OWNER
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Name | DR. THOMAS ALEXANDER D'AGOSTINO
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Credential | PH.D.
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Telephone | 914-438-3991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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