Agnes O
Organization Active NPI Pediatric Skilled Nursing Facility · Schenectady, NY
NPI 1962683045 · NPPES record last updated Nov 17, 2007
Key facts
- NPI
- 1962683045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Skilled Nursing Facility 3140N1450X
- License
- 268485-1 (NY)
- Legal business name
- AGNES O
- Practice address
- 3630 Becker St
Schenectady, NY 12304-2424 - Phone
- (518) 207-1507
- NPI assigned
- Nov 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Agnes Serwah Obeng
- Title
- LPN
- Phone
- (518) 207-1501
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 268485-1 | NY | Yes |
Addresses
Primary practice location
3630 Becker St
Schenectady, NY 12304-2424
Mailing address
3630 Becker St
Schenectadyny, NY 12304-2424
Phone (518) 207-1507
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All providers in Schenectady, NY · Pediatric Skilled Nursing Facility 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 17, 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.