Most Relevant Information
Provider Data
| NPI Number: | 1003044736 |
| Provider Name: | ABIGAIL MARIE AGUSTERO DOCENA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 026083 |
Most Important Dates
| Enumeration Date: | 07/01/2009 |
| Last Updated: | 07/12/2022 |
Provider Practice Location
11045 QUEENS BLVD
SUITE 105
FOREST HILLS
NY
113755501
Practice Location Phone/Fax
| Phone: | 7185755100 |
| Fax: |
Provider Mailing Location
12 CEDAR RD
WESTBURY
NY
115902729
Provider Mailing Phone/Fax
| Phone: | 9174704497 |
| Fax: |