Ageless Men'S Health PC
Organization Active NPI Nurse Practitioner · New York, NY
NPI 1679837751 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1679837751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- AGELESS MEN'S HEALTH PC
- Practice address
- 210 Central Park S
New York, NY 10019-1428 - Phone
- (212) 837-1946
- NPI assigned
- Jul 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Amanda Wilkinson
- Title
- Business Operations Director
- Phone
- (702) 818-0446
Corporate family (same tax ID) 8
Practitioners 6
-
Shaun Yvon Beaulieu, PHYSICIAN ASSISTANT
-
Alexander Julius, PA-C
-
Lauren Sass, NP
-
Nicole Cohen Stollman, PA-C
National Provider Directory
- Tax ID family
- Ageless Men'S Health
Locations
310 Lexington Ave
Apt 1F
New York, NY 10016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
210 Central Park S
New York, NY 10019-1428
Mailing address
310 Lexington Ave Apt 1F
New York, NY 10016-3101
Phone (212) 837-1946
Other providers in New York, NY
- Adriana Agdamus
- Andrea Agee
- Julia Margaret Agee
- Matthew Allan Agee
- Ageless Men'S Health
- Steven Agemy
- Jody Agena
- Laurence Valerie Agenor
- Walmonde Agenor
- Ageonics
All providers in New York, NY · Nurse Practitioner 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 Nov 11, 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.