Individual
JENNIFER AGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 ELDRIDGE ST, NEW YORK, NY 10002-2992
(929) 246-0835
Mailing address
184 ELDRIDGE ST, NEW YORK, NY 10002-2992
(929) 246-0835
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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