Augustine, Thomas A.

Augustine, Thomas A. is an sole proprietor health care provider with primary practice located at 3671 Southwestern Blvd , Orchard Park NY 14127-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Augustine, Thomas A. can be contacted via phone (716) 662-2595.

Contact Information

Primary practice address
3671 Southwestern Blvd Orchard Park NY 14127-1752
Phone: (716) 662-2595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 101292-1 New York

Profile Details

NPI number 1184693236
LBN Legal business name Augustine, Thomas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Apr 11th, 2008 - about 16 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 1184693236 NPPES
New York MEDICAID 01359017

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