Organization
AGAPE LIFE AND HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL AHIPUE DNP. PMHNP-BC, FNP-C (NURSE PRACTITIONER)
(718) 607-1516
Entity
Organization
Contact information
Practice address
3534B AMBOY RD SUITE 2, STATEN ISLAND, NY 10306-2700
(718) 607-1516
Mailing address
3534B AMBOY RD, SUITE 2, STATEN ISLAND, NY 10306-2700
(718) 607-1516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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