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Organization
AGNES O
Active
Organization
AGNES O
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES SERWAH OBENG (LPN)
(518) 207-1501
Entity
Organization
Contact information
Practice address
3630 BECKER ST, SCHENECTADY, NY 12304-2424
(518) 207-1507
Mailing address
3630 BECKER ST, SCHENECTADYNY, NY 12304-2424
(518) 207-1507
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
268485-1
NY
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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