# AGAPE COMPREHENSIVE MEDICAL OFFICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205397767
- **Authorized official:** EMILIO ALMANZAR (DELEGATED OFFICIAL)
- **Authorized official phone:** (201) 921-5063

## Contact information

- **Practice address:** 518 E 149TH ST, BRONX, NY 10455-2812
- **Practice address phone:** (917) 444-1676
- **Practice address fax:** (718) 993-9319
- **Mailing address:** 560 HUDSON ST STE 301, HACKENSACK, NJ 07601-6655
- **Mailing address phone:** (917) 444-1676
- **Mailing address fax:** (718) 993-9319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2019
- **Last updated:** 11/05/2019