Atwell, Agatha

Atwell, Agatha is an sole proprietor health care provider with primary practice located at 9409 Jamaica Ave , Woodhaven NY 11421-2222. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Atwell, Agatha can be contacted via phone (917) 767-7090.

Contact Information

Primary practice address
9409 Jamaica Ave Woodhaven NY 11421-2222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1932463536
LBN Legal business name Atwell, Agatha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Jun 27th, 2012 - about 12 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 1932463536 NPPES
New York Other 0430AA SPECIAL EDUCATOR FOR EARLY INTERVENTION

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