Provider Demographics
NPI:1740659408
Name:AG CONSULTANTS
Entity type:Organization
Organization Name:AG CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:347-526-9442
Mailing Address - Street 1:460 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5514
Mailing Address - Country:US
Mailing Address - Phone:917-682-3652
Mailing Address - Fax:
Practice Address - Street 1:180 72ND ST APT 347
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2021
Practice Address - Country:US
Practice Address - Phone:347-526-9442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284300000X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
No305R00000XManaged Care OrganizationsPreferred Provider Organization