Individual
MS. AGNES MARCIA COMPAGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5489
Mailing address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013072-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03571102
—
NY
Enumeration date
09/08/2011
Last updated
10/06/2014
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