Koch, Agatha Chloe

Koch, Agatha Chloe is an individual health care provider with primary practice located at 51 E 25Th Street 6Th Floor , New York NY 10010. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koch, Agatha Chloe can be contacted via phone (212) 813-3632.

Contact Information

Primary practice address
51 E 25Th Street 6Th Floor New York NY 10010
Phone: (212) 813-3632
Fax: (212) 696-0108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 626902-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 338600-1 New York

Profile Details

NPI number 1861820342
LBN Legal business name Koch, Agatha Chloe
Credentials FNP, RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2013
Last updated Nov 21st, 2017 - about 7 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 1861820342 NPPES
New York MEDICAID 1861820342

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