CARISSA LYNN AGNELLO

MELVILLE, NY
NPI1992231435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  851929141)
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
Ms. CARISSA LYNN AGNELLO
583 BROADHOLLOW RD SUITE 202
MELVILLE, NY 11747-5017
Phone number: 631-484-8920
Mailing Address
Ms. CARISSA LYNN AGNELLO
16 LARCH ST
LAKE RONKONKOMA, NY 11779-4460
Phone number: 631-484-8920