MRS. AGATHA CHLOE KOCH


Address: 51 E 25th Street 6th Floor, New York, NY 10010
Phone: 2128133632

MRS. AGATHA CHLOE KOCH (NPI# 1861820342) 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) 1861820342
Entity Type Individual
Full Name MRS. AGATHA CHLOE KOCH
Credential FNP, RNFA
Practice Address 51 E 25th Street 6th Floor
New York
NY 10010
Practice Telephone 2128133632
Practice Fax Number 2126960108
Mailing Telephone 2128133632
Mailing Fax Number 2126960108
Enumeration Date 2013-10-22
Last Update Date 2017-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
338600-1 NY Physician Assistants & Advanced Practice Nursing Providers
N 163WR0006X Registered Nurse
Specialization: Registered Nurse First Assistant
626902-1 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 1861820342 05

Office Location

Street Address 51 E 25TH STREET 6TH FLOOR
City NEW YORK
State NY
Zip Code 10010

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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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Competitor

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City NEW YORK
Zip Code 10010

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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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