Jagoda, Andy
Jagoda, Andy is an individual health care provider with primary practice located at 100Th Street And Madison Ave , New York NY 10029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jagoda, Andy can be contacted via phone (212) 241-0101.Contact Information
Primary practice address
100Th Street And Madison Ave
New York NY 10029
Phone: (212) 241-0101
Fax: (212) 426-5083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2006931 | New York |
Profile Details
| NPI number | 1669449690 |
|---|---|
| LBN Legal business name | Jagoda, Andy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 10th, 2008 - about 16 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 | 1669449690 | NPPES |
| New York | MEDICAID | 01390752 | |
| New York | Other | 930061988 |
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