Individual provider · Type 1 NPI

Brody Daniel Agres, PA-C

Medical Physician Assistant · Oceanside, NY

NPI number 1689470502 Active

Practice location

1 Healthy Way
Oceanside, NY 11572-1551

Mailing address

467 Charles Ave
Massapequa Park, NY 11762-1303

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X033374 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1689470502

Brody Daniel Agres, PA-C's National Provider Identifier is 1689470502, issued on Feb 21, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oceanside, NY. The record was last updated on Feb 21, 2025.