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Contact Information

THERESA E AGWA, RN
58 DEWITT ST
VALLEY STREAM, NY11580-1613
 Phone: 516-448-6876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for THERESA E AGWA · (Female)

NPI # 1144451477
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/04/2009
Last updated 08/04/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 612816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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