Eytle-Adams, Agnes Christina
Eytle-Adams, Agnes Christina is an sole proprietor health care provider with primary practice located at 75 Broad St Suite 0815, New York NY 10004-2415. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Eytle-Adams, Agnes Christina can be contacted via phone (347) 761-3175.Contact Information
Primary practice address
75 Broad St Suite 0815
New York NY 10004-2415
Phone: (347) 761-3175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 334537 | New York |
Profile Details
| NPI number | 1619218948 |
|---|---|
| LBN Legal business name | Eytle-Adams, Agnes Christina |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Mar 12th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619218948 | NPPES |
| New York | Other | 334537 | LICENSE # |
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