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Individual

MISS CARLENE AUGUSTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19304 HORACE HARDING EXPY APT 2F, FRESH MEADOWS, NY 11365-2820
(718) 276-7935
Mailing address
15022 127TH ST, SOUTH OZONE PARK, NY 11420-4202
(718) 490-3363

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309776
NY

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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