| Agave Medical Ny, P.c | |
|
16397 Road 37 Madera CA 93636-8224 | |
| (510) 871-5025 | |
| Not Available |
| Full Name | Agave Medical Ny, P.c |
|---|---|
| Speciality | Psychologist |
| Location | 16397 Road 37, Madera, California |
| Authorized Official Name and Position | Michael Scahill (CEO) |
| Authorized Official Contact | 5108715025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Medical Ny, P.c 16397 Road 37 Madera CA 93636-8224 Ph: () - | Agave Medical Ny, P.c 16397 Road 37 Madera CA 93636-8224 Ph: (510) 871-5025 |
| NPI Number | 1780403501 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780403501 | NPI | - | NPPES |
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