Agnes P Abetsi
Individual provider Active NPI Case Manager/Care Coordinator · Jackson Heights, NY
NPI 1023824232 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1023824232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3524 83Rd St
Jackson Heights, NY 11372-5229 - Phone
- (718) 639-0700
- Fax
- (718) 639-7684
- NPI assigned
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Brooklyn and Queens | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3524 83Rd St
Jackson Heights, NY 11372-5229
Mailing address
3524 83Rd St
Jackson Heights, NY 11372-5229
Phone (718) 639-0700
Other providers in Jackson Heights, NY
- Marya Abbas
- Saffiyah Abbasi
- Syed A Abdali
- Mazol Abdurakhmanov
- Jahidul Abedin
- Brian Abraham
- Freddy Abrahamson
- Maria M Abreu
- Vicclayra Maria Abreu
- Acare Pharmacy LLC
All providers in Jackson Heights, NY · Case Manager/Care Coordinator in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.