Jennifer Agis
Community Health Worker in New York, NY. Individual provider (NPI-1).
NPI number1891351607
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1891351607
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Agis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2019
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
184 Eldridge StNew York, NY 10002-2992
Phone 929-246-0835
Mailing address
184 Eldridge StNew York, NY 10002-2992
Phone 929-246-0835
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