Organization
AGELESS MEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
161 ATLANTIC AVE FL 2, BROOKLYN, NY 11201-6792
(212) 430-6677
Mailing address
161 ATLANTIC AVE FL 2, BROOKLYN, NY 11201-6792
(212) 430-6677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0068091
NY
Other
Enumeration date
06/17/2011
Last updated
02/03/2025
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