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Individual

MARTINE AUGUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
599 CONVENT ROAD, ORANGEBURG, NY 10962
(845) 359-7400
Mailing address
2 DICKENS ST, STONY POINT, NY 10980-3653

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
217967
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217967
NY
Enumeration date
04/16/2007
Last updated
07/08/2007
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