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Organization
OCTAVIAN G AUSTRIACU DO PC
Active
Organization
OCTAVIAN G AUSTRIACU DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIAN GHEORGHE AUSTRIACU D.O. (PRESIDENT)
(631) 957-0066
Entity
Organization
Contact information
Practice address
900 STRAIGHT PATH, WEST BABYLON, NY 11704-3203
(631) 957-0066
(631) 957-2701
Mailing address
900 STRAIGHT PATH, WEST BABYLON, NY 11704-3203
(631) 957-0066
(631) 957-2701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2248091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02877609
—
NY
01
—
1700949823
INDIVIDUAL NPI
NY
01
—
1821112327
PC NPI
NY
Enumeration date
03/19/2007
Last updated
10/02/2007
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