Ageonics
Organization Active NPI Family Medicine Physician · New York, NY
NPI 1396020145 · NPPES record last updated Oct 12, 2011
Key facts
- NPI
- 1396020145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 220017-1 (NY)
- Legal business name
- AGEONICS
- Practice address
- 109 E 36TH St
New York, NY 10016-3447 - Phone
- (212) 510-7020
- Fax
- (212) 510-7021
- NPI assigned
- Oct 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Jeremie Rachunow, M.D.
- Title
- Officer
- Phone
- (212) 510-7020
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | X010496-1 | NY | |
| Family Medicine Physician |
207Q00000X | 220017-1 | NY | Yes |
Addresses
Primary practice location
109 E 36TH St
New York, NY 10016-3447
Mailing address
109 E 36TH St
New York, NY 10016-3447
Phone (212) 510-7020
Other providers in New York, NY
- Ageless Men'S Health PC
- Steven Agemy
- Jody Agena
- Laurence Valerie Agenor
- Walmonde Agenor
- Cara Lyn Agerstrand
- Natalya Ageyeva
- Agf Psychologist PLLC
- Amit Aggarwal
- Divya Singla Aggarwal
All providers in New York, NY · Family Medicine Physician 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 Oct 12, 2011. 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.