Individual
JENNIFER LYNN AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 LEXINGTON AVE FL 2, NEW YORK, NY 10075
(212) 434-4350
(212) 434-4408
Mailing address
1120 LEXINGTON AVE FL 2, NEW YORK, NY 10075-0309
(212) 434-4350
(212) 434-4408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
278439-1
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
278439-1
NY
Other
Enumeration date
04/26/2010
Last updated
08/24/2018
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