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Individual

AUGUSTUS VALMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 E 95TH ST, NEW YORK, NY 10128-4077
(212) 996-8000
(516) 542-5556
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213776
NY
207RN0300X
Nephrology Physician
213776
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02412375
NY
Enumeration date
07/15/2006
Last updated
12/09/2015
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