Individual provider · NPI-1

Dr. Marilyn C Agin, M.D.

Pediatrics, Neurodevelopmental Disabilities · New York, NY

NPI number1750414108
StatusActive
Last updated in NPPESFeb 5, 2015

Details

NPI
1750414108
Entity type
Individual (NPI-1)
Name
Dr. Marilyn C Agin
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2007
Last updated
Feb 5, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0008X Pediatrics, Neurodevelopmental Disabilities171956NYYes

Practice location

107 W 90th St
Th-H
New York, NY 10024-1254

Phone 212-274-9180 · Fax 212-219-3688

Mailing address

107 W 90th St
Th-H
New York, NY 10024-1254

Phone 212-274-9180 · Fax 212-219-3688

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