National Provider Identifier
Tandy Marie Agostini, MD
Tandy Marie Agostini, MD is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Ithaca, NY and a listed phone number of (917) 675-0272.
Profile Overview
- NPI
- 1134642135
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- July 21, 2017
- Last Updated
- August 09, 2023
Practice Location
- 20 Arrowood Dr Ste B
- Ithaca, NY 14850-1869
Phone: (917) 675-0272
Mailing Address
- 1301 Trumansburg RD Ste P
- Ithaca, NY 14850-1397
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1134642135
- Entity Type
- Individual
- Last Name
- Agostini
- First Name
- Tandy
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1301 Trumansburg RD Ste P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1397
- Mailing Country
- US
- Mailing Phone
- (917) 675-0272
- Practice Street Address
- 20 Arrowood Dr Ste B
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1869
- Practice Country
- US
- Practice Phone
- (917) 675-0272
- Enumeration Date
- July 21, 2017
- Last Updated
- August 09, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)