Fred Agre, MD
Individual provider Active NPI Pediatrics Physician · Elmsford, NY
NPI 1821185745 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821185745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 090437 (NY)
- Practice address
- 327 Knollwood Road Ext
Elmsford, NY 10523-2910 - Phone
- (915) 593-0474
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- 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)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Associates PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 090437 | NY | Yes |
Addresses
Primary practice location
327 Knollwood Road Ext
Elmsford, NY 10523-2910
Mailing address
327 Knollwood Road Ext
Elmsford, NY 10523-2910
Phone (915) 593-0474
Other providers in Elmsford, NY
- 35 Valley Ave LLC
- Abosede Thomas
- Madeleine Absolu
- Advanced Oxygen Therapy Inc.
- Ahg of New York Inc
- Uche Akwuba II
- Julie Michelle Alonso
- Jeffrey D Altholz
- Ambulatory Pharmaceutical Services
All providers in Elmsford, NY · Pediatrics 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 Jul 8, 2007. 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.