Individual
MR. WISLY G AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 LIVINGSTON ST STE 3L, BROOKLYN, NY 11201-5127
(929) 295-6616
(929) 295-6594
Mailing address
100 LIVINGSTON ST STE 3L, BROOKLYN, NY 11201-5127
(929) 295-6616
(929) 295-6594
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
235739-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839325
—
NY
Enumeration date
08/31/2006
Last updated
07/08/2021
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