Individual
JENNIFER AGATEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1275 YORK AVE, SUITE C1179, NEW YORK, NY 10065-6007
(212) 639-6673
Mailing address
1275 YORK AVE, SUITE C1179, NEW YORK, NY 10065-6007
(212) 639-6673
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430936
NY
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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