Janice M Agen, NP | |
90 Presidential Plz, 3rd Floor, Syracuse, NY 13202-2240 | |
(315) 464-5210 | |
(315) 464-2141 |
Full Name | Janice M Agen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 90 Presidential Plz, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003063827 | NPI | - | NPPES |
03500736 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 421076 (New York) | Primary |
Entity Name | University Ob/gyn Associates, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235170150 PECOS PAC ID: 9133117740 Enrollment ID: O20040503001562 |
Mailing Address | Practice Location Address |
---|---|
Janice M Agen, NP 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202-2240 Ph: (315) 464-5210 | Janice M Agen, NP 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202-2240 Ph: (315) 464-5210 |
Irene S Borja, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Mrs. Yingzi Wang, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Michele Rene Mcdonald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 | |
Nicole Marie Voudren, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-254-6914 Fax: 315-464-8524 | |
Mary Jean Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Frances I Swiecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |