Most Relevant Information
Provider Data
| NPI Number: | 1003063827 |
| Provider Name: | JANICE M AGEN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 421076 |
Most Important Dates
| Enumeration Date: | 08/22/2008 |
| Last Updated: | 08/22/2013 |
Provider Practice Location
90 PRESIDENTIAL PLZ
3RD FLOOR
SYRACUSE
NY
132022240
Practice Location Phone/Fax
| Phone: | 3154645210 |
| Fax: | 3154642141 |
Provider Mailing Location
90 PRESIDENTIAL PLZ
3RD FLOOR
SYRACUSE
NY
132022240
Provider Mailing Phone/Fax
| Phone: | 3154645210 |
| Fax: | 3154642141 |