Organization
PETER AGHO, MD, PC
Active
Other names
Agho Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER AGHO MD (PRESIDENT)
(212) 245-0200
Entity
Organization
Contact information
Practice address
1531 METROPOLITAN AVE, BRONX, NY 10462-6127
(718) 597-3111
(718) 597-3332
Mailing address
PO BOX 491, NEW CITY, NY 10956-0491
(212) 245-0200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
190503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01466059
—
NY
Enumeration date
11/26/2009
Last updated
11/26/2009
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