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General NPI Number Information
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NPI Number | 1629062591
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Entity Type | Individual
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Provider Name | CARMEN A NATALI-AGOSTINI MD
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Gender | Female
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 900 SOUTH AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3425
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Country | US
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Telephone | 718-732-7334
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Fax | 212-685-5331
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Provider Business Mailing Address
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Address Line | 260 5TH AVE SUITE 12N
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City | NEW YORK
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State | NY
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Zip | 10001-6408
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Country | US
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Telephone | 917-776-3496
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Fax | 212-685-5331
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 25MA07309600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 168414
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License Number State | NY
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