Agnes Q Banquet in Hawthorne - Pediatrics

Agnes Q Banquet - NPI 1912942350

Agnes Q Banquet is a Pediatrics in Hawthorne, New York. Agnes Q Banquet practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Agnes Q Banquet is 1912942350. The last update date is 2016-03-08.

Agnes Q Banquet's current location address is 19 Bradhurst Ave, Hawthorne, New York. You can contact this provider via phone number 9144937585 and fax number 9145944336. The mailing address for Agnes Q Banquet is 19 Bradhurst Ave, Hawthorne, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Agnes Q Banquet
Address 19 Bradhurst Ave, Hawthorne, New York
Phone Number 9144937585
Fax Number 9145944336
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912942350
Provider Enumeration Date 2006-06-19
Last Updated Date 2016-03-08

Provider Mailing Address Detail

Address 19 Bradhurst Ave
City Hawthorne
State New York (NY)
Post Code 105322140
Phone Number 9144937585
Fax Number 9145944336

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 226787
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2415369 NY --

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FAQs about Agnes Q Banquet

What is the unique provider identifier assigned to Agnes Q Banquet?

The Agnes Q Banquet has been issued the NPI (National Provider Identifier) 1912942350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Agnes Q Banquet's facilities are situated?

The facilities of Agnes Q Banquet are physically located at the following address: 19 Bradhurst Ave, Hawthorne, NY, 105322140.

What is the area of specialization for Agnes Q Banquet, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Agnes Q Banquet is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date was the 1912942350 assigned to Agnes Q Banquet?

The Agnes Q Banquet was issued its 1912942350 on 2006-06-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Agnes Q Banquet's information last updated?

The Agnes Q Banquet's information was last updated on 2016-03-08.

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