Agwa, Theresa Elesie

Agwa, Theresa Elesie is an sole proprietor health care provider with primary practice located at 58 Dewitt St , Valley Stream NY 11580-1613. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Agwa, Theresa Elesie can be contacted via phone (516) 448-6876.

Contact Information

Primary practice address
58 Dewitt St Valley Stream NY 11580-1613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 612816 New York

Profile Details

NPI number 1144451477
LBN Legal business name Agwa, Theresa Elesie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2009
Last updated Aug 4th, 2009 - about 15 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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