Individual
ANNIEAMMA AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 JUNARD BLVD, WEST HEMPSTEAD, NY 11552-3131
(516) 808-3742
Mailing address
538 JUNARD BLVD, WEST HEMPSTEAD, NY 11552-3131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
439234
NY
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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