NPI 1417520628 · live from the CMS NPI Registry
Andrea Agas, PA-C
Physician Assistant in Poughkeepsie, NY. National Provider Identifier 1417520628, active.
NPI record
| NPI | 1417520628 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 241 North Rd, Poughkeepsie, NY 12601 |
| Practice phone | 845-483-5000 |
| Mailing address | 19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532 |
| Enumerated | July 24, 2021 |
| Last updated | April 17, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | — |
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Surgical | 363AS0400X | — (NY) |
| Physician Assistant primary | 363A00000X | 25MP00765400 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.