Agbontaen, Xiaonian Jane

Agbontaen, Xiaonian Jane is an sole proprietor health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215-3609. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Agbontaen, Xiaonian Jane can be contacted via phone (718) 780-3000.

Contact Information

Primary practice address
506 6Th St Brooklyn NY 11215-3609
Phone: (718) 780-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 138690

Profile Details

NPI number 1841419694
LBN Legal business name Agbontaen, Xiaonian Jane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841419694 NPPES
New York MEDICAID 02239114

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