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NPI Code Detail

MEDICARE: MICHELE MARIE AGULIA RN

MEDICARE: MICHELE MARIE AGULIA RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse526085NY

General Provider Information

NPI Number : 1366266637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MARIE AGULIA RN
Provider Business Mailing Address
First Line : 200 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3599 BIG RIDGE RD
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1799
Country : US
Telephone Number : 585-352-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2024
Last Update Date : 11/13/2024

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Directions to “ MICHELE MARIE AGULIA RN” Practice Location

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