Agboka, Marc

Agboka, Marc is an individual health care provider with primary practice located at 10819 Rockaway Blvd , South Ozone Park NY 11420-1034. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Agboka, Marc can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
10819 Rockaway Blvd South Ozone Park NY 11420-1034
Phone: (718) 845-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1376031054
LBN Legal business name Agboka, Marc
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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