Organization
AGNES H WHITAKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES H. WHITAKER MD (PSYCHIATRIST)
(646) 692-8297
Entity
Organization
Contact information
Practice address
15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
(646) 692-8297
(646) 692-8302
Mailing address
15 W 72ND ST, SUITE 1P, NEW YORK, NY 10023-3402
(646) 692-8297
(646) 692-8302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
137109-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
137109-1
NY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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