Individual
DR. AUGUSTO S. DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3072 E. JERICHO TPKE, SUITE 202, EAST NORTHPORT, NY 11731
(631) 692-0654
(631) 692-0656
Mailing address
3072 E. JERICHO TPKE, SUITE 202, EAST NORTHPORT, NY 11731
(631) 692-0654
(631) 692-0656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
225807
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
225807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00267194
RAILROAD MEDICARE
NY
Enumeration date
11/21/2006
Last updated
04/02/2026
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