Individual
ISIDORE A AGOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1435
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
438841
NY
Other
Enumeration date
06/12/2006
Last updated
11/29/2024
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