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Individual

AGNES ONIWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13720 171ST ST, JAMAICA, NY 11434-4506
(917) 613-6235
Mailing address
13720 171ST ST, JAMAICA, NY 11434-4506

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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