Doctor Name: | MR. STANLEY AUGUSTIN |
NPI Number: | 1104055623 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN |
License Number: | 592835-1 |
Business Practice Address: | 5o Broadway Lynbrook, NY - 11563 |
Business Phone Number: | 5168871200 |
Business Fax Number: | 5165932848 |
Mailing Address: | 5o Broadway, LYNBROOK |
State: | NY |
Postal Code: | 11563 |
Phone Number: | 5168871200 |
Fax Number: | 5165932848 |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 592835-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |