# AGAPE LIFE AND HEALTH, LLC

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

## Provider details

- **NPI number:** 1639986870
- **Authorized official:** EMMANUEL AHIPUE DNP. PMHNP-BC, FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (718) 607-1516

## Contact information

- **Practice address:** 3534B AMBOY RD SUITE 2, STATEN ISLAND, NY 10306-2700
- **Practice address phone:** (718) 607-1516
- **Mailing address:** 3534B AMBOY RD, SUITE 2, STATEN ISLAND, NY 10306-2700
- **Mailing address phone:** (718) 607-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 12/11/2024