Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Corazon Agcanas, MD

Individual provider Family Medicine Physician · NPI 1871943373

Nicole Corazon Agcanas, MD is a Family Practice in Bronx, New York. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2016, 10 years ago. Practices with Hudson Vista Medical PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 301523 (NY)

Record details

NPI number1871943373
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Hudson Vista Medical Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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