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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861820342 | NPPES |
New York | MEDICAID | 1861820342 |
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