Individual
STEPHANIE AMANDA AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 QUENTIN RD, BROOKLYN, NY 11223-2341
(718) 998-3235
Mailing address
1007 QUENTIN RD, BROOKLYN, NY 11223-2341
(516) 503-0660
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
748554
NY
Other
Enumeration date
05/07/2020
Last updated
05/08/2020
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