MRS. JACQUELINE MARIE AGNELLO-VAZQUEZ


Address: 760 North Ave, New Rochelle, NY 10801-1815
Phone: 9146332548

MRS. JACQUELINE MARIE AGNELLO-VAZQUEZ (NPI# 1801123260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801123260
Entity Type Individual
Full Name MRS. JACQUELINE MARIE AGNELLO-VAZQUEZ
Credential FNP
Practice Address 760 North Ave
New Rochelle
NY 10801-1815
Mailing Address 715 North Ave
New Rochelle
NY 10801-1830
Practice Telephone 9146332548
Practice Fax Number 9147124102
Mailing Telephone 9146332548
Mailing Fax Number 9147124102
Enumeration Date 2009-11-05
Last Update Date 2009-11-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F335834 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 760 NORTH AVE
City NEW ROCHELLE
State NY
Zip Code 10801-1815

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1881107753 Claudine Passard Nurse Practitioner 207 Drake Ave Apt 5j, New Rochelle, NY 10805-1785 2017-11-14
1700255403 Frankys Andrade Nurse Practitioner 80 Guion Pl Apt 10p, New Rochelle, NY 10801-3838 2015-09-23
1447678347 Angeline Quinones Nurse Practitioner 5 Flower St, New Rochelle, NY 10801-7506 2014-03-29
1730430638 Marilyn Morris Nurse Practitioner 514a Main St Ste 708, New Rochelle, NY 10801-6306 2012-10-02
1194004929 Rebecca Foumbi Nurse Practitioner 6 Hampton Oval, New Rochelle, NY 10805-2902 2011-08-10
1295918746 Therese Marita Mosely-saunders Nurse Practitioner 715 North Ave, New Rochelle, NY 10801-1830 2007-12-06
1467667691 Cynthia Pallon Laiz Nurse Practitioner 140 Lockwood Ave Ste 203, New Rochelle, NY 10801-4908 2007-05-11
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Competitor

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City NEW ROCHELLE
Zip Code 10801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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