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Individual

MRS. AGNES FORD-BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
450 S OCEAN AVE, FREEPORT, NY 11520-5538
(516) 867-5381
(516) 379-6887
Mailing address
450 S OCEAN AVE, FREEPORT, NY 11520-5538
(516) 867-5381
(516) 379-6887

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
380999
NY

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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