Agosto-Colon, Eneida

Agosto-Colon, Eneida is an sole proprietor health care provider with primary practice located at 3713 85Th St Bsmt , Jackson Heights NY 11372-7352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Agosto-Colon, Eneida can be contacted via phone (718) 507-5400.

Contact Information

Primary practice address
3713 85Th St Bsmt Jackson Heights NY 11372-7352
Phone: (718) 507-5400
Fax: (718) 507-5422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 211512 New York

Profile Details

NPI number 1629165162
LBN Legal business name Agosto-Colon, Eneida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jun 19th, 2014 - about 10 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 1629165162 NPPES
New York MEDICAID 02129564

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