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NPI Code Detail

MEDICARE: AGMA INC.

MEDICARE: AGMA INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2951304NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225105364
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGMA INC.
Provider Business Mailing Address
First Line : 1440 PORT WASHINGTON BLVD
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-2412
Country : US
Telephone Number : 516-719-9400
Fax Number : 516-719-9500
Provider Business Practice Location Address
First Line : 1440 PORT WASHINGTON BLVD
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-2412
Country : US
Telephone Number : 516-719-9400
Fax Number : 516-719-9500
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DAVID MOSKOWITZ
Credential :
Telephone Number : 516-719-9400
Provider Enumeration Date : 11/30/2006
Last Update Date : 06/25/2015

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