Individual
EMMANUEL AGNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Mailing address
194 WINDING BROOK RD, NEW ROCHELLE, NY 10804-1926
(718) 865-8733
(718) 841-7119
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012529
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
02/13/2008
Last updated
03/13/2026
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