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Organization
WOODHULL MEDICAL GROUP
Active
Organization
WOODHULL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITICIA CHRISTINE AUGUSTY P.A. (PHYSICIAN ASSISTANT)
17189837808
Entity
Organization
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5735
(718) 630-3045
Mailing address
403 WOOLLEY AVE, STATEN ISLAND, NY 10314-2142
(718) 983-7808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009897
NY
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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