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Individual

AUGUSTO D PAIUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3131 KINGS HWY, STE B-1, BROOKLYN, NY 11234-2644
(718) 998-2323
(718) 998-7660
Mailing address
PO BOX 10088, UNIONDALE, NY 11555-0088
(718) 988-2323
(718) 998-7660

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168015
NY
207RC0000X
Cardiovascular Disease Physician
Primary
168015
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01551606
NY
Enumeration date
05/18/2006
Last updated
03/24/2008
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