Organization
ERIE T AGUSTIN MD PC
Active
Other names
Erie T Agustin MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIE T. AGUSTIN MD (PRESIDENT)
(718) 205-0030
Entity
Organization
Contact information
Practice address
5801 WOODSIDE AVE STE 2, WOODSIDE, NY 11377-3437
(718) 205-0030
(806) 552-9573
Mailing address
5801 WOODSIDE AVE STE 2, WOODSIDE, NY 11377-3437
(718) 205-0030
(718) 205-6136
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
09/22/2023
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