Augustine, Joseph P

Augustine, Joseph P is an individual health care provider with primary practice located at 4939 Brittonfield Pkwy Suite 101, East Syracuse NY 13057-9208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Augustine, Joseph P can be contacted via phone (315) 463-1600.

Contact Information

Primary practice address
4939 Brittonfield Pkwy Suite 101 East Syracuse NY 13057-9208
Phone: (315) 463-1600
Fax: (315) 634-6793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1742991 New York

Profile Details

NPI number 1255328126
LBN Legal business name Augustine, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 22nd, 2013 - about 11 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 1255328126 NPPES
New York MEDICAID 01937535

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