Provider Demographics
NPI:1043402811
Name:AGNANT, JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:AGNANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:ROOM 8-S-4-11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:201-452-7848
Mailing Address - Fax:212-263-8172
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:BELLEVUE MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:201-452-7848
Practice Address - Fax:212-263-8172
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2022-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT188851208000000X
NY256777207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics