Organization
AGBS OPTIMAL HEALTH LLC
Active
Other names
AGBS OPTIMAL HEALTH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BROWN (OWNER)
(646) 294-8783
Entity
Organization
Contact information
Practice address
10 ALTA DR, BRONXVILLE, NY 10708-4503
(646) 294-8783
(888) 727-0593
Mailing address
10 ALTA DR, BRONXVILLE, NY 10708-4503
(646) 294-8783
(888) 727-0593
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928337786
—
NY
Enumeration date
07/13/2021
Last updated
07/13/2021
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