Individual
ANITRA AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 N COURT ST, WAMPSVILLE, NY 13163-7714
(315) 366-2327
Mailing address
124 SAINT LOUIS AVE, SYRACUSE, NY 13207-2247
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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