Provider Demographics
NPI:1902055601
Name:CHIO, AGNES (DO)
Entity Type:Individual
Prefix:DR
First Name:AGNES
Middle Name:
Last Name:CHIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2175 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-4734
Mailing Address - Country:US
Mailing Address - Phone:718-829-6770
Mailing Address - Fax:718-904-9145
Practice Address - Street 1:275 7TH AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6757
Practice Address - Country:US
Practice Address - Phone:212-924-2510
Practice Address - Fax:212-812-3800
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine