| Agnes H Whitaker Md Pc | |
|
15 W 72nd St Suite 1p New York NY 10023-3402 | |
| (646) 692-8297 | |
| (646) 692-8302 |
| Full Name | Agnes H Whitaker Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 W 72nd St, New York, New York |
| Authorized Official Name and Position | Agnes H. Whitaker (PSYCHIATRIST) |
| Authorized Official Contact | 6466928297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnes H Whitaker Md Pc 15 W 72nd St Suite 1p New York NY 10023-3402 Ph: (646) 692-8297 | Agnes H Whitaker Md Pc 15 W 72nd St Suite 1p New York NY 10023-3402 Ph: (646) 692-8297 |
| NPI Number | 1861895070 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Medicare PECOS PAC ID | 8628290129 |
|---|---|
| Medicare Enrollment ID | O20141118002169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861895070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 137109-1 (New York) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 137109-1 (New York) | Primary |
| Provider Name | Agnes H Whitaker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033247770 PECOS PAC ID: 6608098116 Enrollment ID: I20141118002340 |
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