Individual
AGNES H. WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
(212) 579-5557
(212) 579-5558
Mailing address
15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
(646) 692-8297
(646) 692-8302
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
137109
NY
Other
Enumeration date
03/02/2007
Last updated
09/18/2015
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