Augustin, Wisly G

Augustin, Wisly G is an individual health care provider with primary practice located at 100 Livingston St Ste 3L , Brooklyn NY 11201-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Augustin, Wisly G can be contacted via phone (929) 295-6616.

Contact Information

Primary practice address
100 Livingston St Ste 3L Brooklyn NY 11201-5127
Phone: (929) 295-6616
Fax: (929) 295-6594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 235739-1 New York

Profile Details

NPI number 1902917487
LBN Legal business name Augustin, Wisly G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902917487 NPPES
New York MEDICAID 02839325

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