Banquet, Agnes Q

Banquet, Agnes Q is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 1400, Hawthorne NY 10532-2140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Banquet, Agnes Q can be contacted via phone (914) 493-7585.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 1400 Hawthorne NY 10532-2140
Phone: (914) 493-7585
Fax: (914) 594-4336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 226787 New York
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 226787 New York

Profile Details

NPI number 1912942350
LBN Legal business name Banquet, Agnes Q
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 8th, 2016 - about 8 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 1912942350 NPPES
New York MEDICAID 02415369

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