NPI 1295938793 · live from the CMS NPI Registry
John Agresta, D.O.
Emergency Medicine in Glens Falls, NY. National Provider Identifier 1295938793, active.
NPI record
| NPI | 1295938793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 100 Park St, Glens Falls, NY 12801 |
| Practice phone | 518-926-3000 |
| Enumerated | June 11, 2007 |
| Last updated | January 5, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | 256064 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.