Individual provider · NPI-1

Peter Agho, MD

Family Medicine · Bronx, NY

NPI number1316020068
StatusActive
Last updated in NPPESJan 30, 2010

Details

NPI
1316020068
Entity type
Individual (NPI-1)
Name
Peter Agho
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 23, 2006
Last updated
Jan 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine190503NYYes
208000000X Pediatrics190503NY

Practice location

1531 Metropolitan Ave
Bronx, NY 10462-6100

Phone 718-597-3111 · Fax 718-597-3332

Mailing address

Po Box 491
New City, NY 10956-0491

Phone 718-597-3111

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Bronx, NY