# AGNES H WHITAKER MD PC

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

## Provider details

- **NPI number:** 1861895070
- **Authorized official:** DR. AGNES H. WHITAKER MD (PSYCHIATRIST)
- **Authorized official phone:** (646) 692-8297

## Contact information

- **Practice address:** 15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
- **Practice address phone:** (646) 692-8297
- **Practice address fax:** (646) 692-8302
- **Mailing address:** 15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
- **Mailing address phone:** (646) 692-8297
- **Mailing address fax:** (646) 692-8302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 137109-1 | NY | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 137109-1 | NY | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 10/01/2014