Agnes Q Banquet
MD | Pediatric Pulmonology | Female
Agnes Q Banquet, MD is a Hawthorne, New York based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Agnes Q Banquet is
19 Bradhurst Ave, Suite 1400, Hawthorne, New York - 10532-2140. She can be contacted on phone at
914-493-7585 and fax number 914-594-4336.
Agnes Q Banquet is a sole proprietor of her business.
NPI number (Unique professional ID) for Agnes Q Banquet is
1912942350 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 08 Mar, 2016.
Agnes Q Banquet license number is
226787 for Pediatrics Pediatric Pulmonology (2080P0214X) in New York.
Agnes Q Banquet is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Agnes Q Banquet basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Pulmonology |
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Provider Name : | Agnes Q Banquet |
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Credential : | MD |
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Gender : | Female |
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Business Address:
Agnes Q Banquet address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 19 Bradhurst Ave, Suite 1400 Hawthorne, NY, 10532-2140 United States |
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Phone Number : | 914-493-7585 |
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Fax Number : | 914-594-4336 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1912942350 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 19 Jun, 2006 |
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Last Updated On : | 08 Mar, 2016 |
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Medicare Participation:
Agnes Q Banquet participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 0547264533 |
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Medicare Enrollment ID : | I20060906000066 |
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Primary Specialty : | Pulmonary Disease |
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Medical School : | Other |
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Graduation Year : | 1989 |
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Accepts Medicare? | Yes. Agnes Q Banquet accepts medicare insurance. |
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Group Practice Association:
Agnes Q Banquet is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Agnes Q Banquet is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Boston Children's Health Physicians Llp | 8325937014 | 61 | 1 Grasslands Rd Children's And Women's Physicians Of Valhalla, NY - 10595 Ph: 9145942387 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 100 Woods Rd Children's And Women's Physicians O Valhalla, NY - 105951530 Ph: 9144938558 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 30 Plaza W Children's And Women's Physicians Of Valhalla, NY - 105951572 Ph: 9145944914 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 50 Plaza W Children's And Women's Physicians O Valhalla, NY - 105951574 Ph: 9145943415 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 503 Grasslands Rd Valhalla, NY - 105951593 Ph: 9143670000 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 95 Grasslands Rd Valhalla, NY - 105951652 Ph: 9145942387 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 1 Webster Ave Suite 300 Poughkeepsie, NY - 126011362 Ph: 9144937585 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 45 Reade Pl Poughkeepsie, NY - 126013947 Ph: 8456238031 | Yes |
Boston Children's Health Physicians Llp | 8325937014 | 61 | 29 Fox St Suite 100 Poughkeepsie, NY - 126014714 Ph: 9144937585 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Agnes Q Banquet are as mentioned. Primary taxonomy code for Agnes Q Banquet, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | No | 226787 | NY |
2080P0214X | Pediatrics Pediatric Pulmonology | Yes | 226787 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Agnes Q Banquet such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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02415369 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 19 Bradhurst Ave, Suite 1400 Hawthorne, NY, 10532-2140 United States |
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Phone Number : | 914-493-7585 |
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Fax Number : | 914-594-4336 |
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Business Location:
Patients can refer following map for directions to
Agnes Q Banquet practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.