Janet Agbaku

Individual provider Active NPI Registered Nurse · Brooklyn, NY

NPI 1649796152 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1649796152
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
563575 (NY)
Practice address
893 Eastern Parkway, FL 2
Brooklyn, NY 11213
Phone
(929) 385-1995
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
563575NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 563575 NY Yes

Addresses

Primary practice location

893 Eastern Parkway, FL 2
Brooklyn, NY 11213

Mailing address

893 Eastern Pkwy FL 2
Brooklyn, NY 11213-3619
Phone (929) 385-1995

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.