Organization
AUGUSTUS GUARENTE OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTUS GUARENTE OD (VICE PRESIDENT/CO-OWNER)
(845) 339-4990
Entity
Organization
Contact information
Practice address
240 LUCAS AVE, KINGSTON, NY 12401-4316
(845) 339-4990
(845) 339-5001
Mailing address
240 LUCAS AVE, KINGSTON, NY 12401-4316
(845) 339-4990
(845) 339-5001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D108
CDPHP
NY
Enumeration date
01/09/2008
Last updated
01/09/2008
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