Individual
PHYLLIS AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 E 69TH ST, NEW YORK, NY 10021-5676
(212) 746-2210
Mailing address
450 E 69TH ST, NEW YORK, NY 10021-5676
(212) 746-2210
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
134655
NY
Other
Enumeration date
10/09/2006
Last updated
11/10/2011
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