Daugustine, Jean M

Daugustine, Jean M is an sole proprietor health care provider with primary practice located at 1530 Bedford Ave , Brooklyn NY 11216-4117. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Daugustine, Jean M can be contacted via phone (718) 484-8818.

Contact Information

Primary practice address
1530 Bedford Ave Brooklyn NY 11216-4117
Phone: (718) 484-8818
Fax: (732) 440-1483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 191222 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 191222 New York

Profile Details

NPI number 1295787042
LBN Legal business name Daugustine, Jean M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Sep 13th, 2021 - about 4 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 1295787042 NPPES
New York MEDICAID 01605403

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