Agnant, Emmanuel

Agnant, Emmanuel is an individual health care provider with primary practice located at 4012 80Th St , Elmhurst NY 11373-1234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Agnant, Emmanuel can be contacted via phone (718) 886-9000.

Contact Information

Primary practice address
4012 80Th St Elmhurst NY 11373-1234
Phone: (718) 886-9000
Fax: (718) 961-0666
Website:
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Health care specialties

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

Profile Details

NPI number 1043488943
LBN Legal business name Agnant, Emmanuel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated Feb 1st, 2016 - about 9 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 1043488943 NPPES
New York MEDICAID 00246075

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