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Individual

MARIE LESLY M. AUGUSTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BC, MPS

Contact information

Practice address
3811 BROADWAY FL 3, ASTORIA, NY 11103-4045
(718) 726-5953
(718) 204-5308
Mailing address
38-11 BROADWAY 3RD FLOOR, ASTORIA, NY 11103
(718) 726-5953
(718) 204-5308

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
352397-1
NY

Other

Enumeration date
03/29/2010
Last updated
03/29/2010
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