Individual provider · NPI-1

Jennifer Lynn Agnew, M.D.

Colon & Rectal Surgery · New York, NY

NPI number1134446503
StatusActive
Last updated in NPPESAug 24, 2018

Details

NPI
1134446503
Entity type
Individual (NPI-1)
Name
Jennifer Lynn Agnew
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 26, 2010
Last updated
Aug 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery278439-1NYYes
208600000X Surgery278439-1NY

Practice location

1120 Lexington Ave Fl 2
New York, NY 10075

Phone 212-434-4350 · Fax 212-434-4408

Mailing address

1120 Lexington Ave Fl 2
New York, NY 10075-0309

Phone 212-434-4350 · Fax 212-434-4408

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