PETER AGHO MD PC NPI 1639407828

NPI Information

PETER AGHO, MD, PC is a primary care clinic center in Bronx, NY. PETER AGHO, MD, PC NPI is 1639407828. The provider is registered as an organization entity type.
The provider Is Doing Business As Agho Clinic.

The provider's business location address is:

1531 METROPOLITAN AVE
BRONX, NY
ZIP 10462-127
Phone: (718) 597-3111
Fax: (718) 597-3332

The provider's authorized official is Peter Agho .
The authorized official title is President and has the following contact phone number (212) 245-0200.

The CLIA number assigned to this NPI record is 33D1072057 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2009 and was last updated on 11/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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