Individual
COURTNEY AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 WARREN ST, NEW YORK, NY 10007-0029
(212) 226-7666
Mailing address
120 W 86TH ST APT 10A, NEW YORK, NY 10024-4011
(216) 534-5342
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383092
NY
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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