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Contact Information

JAIBY AUGUSTINE, ANP-C
286 SILLS RD
SUITE 4
EAST PATCHOGUE, NY11772-8810
 Phone: 631-946-6446
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JAIBY AUGUSTINE · (Male)

NPI # 1386928265
Status Active
Credentials ANP-C
Entity Individual
Enumeration date 10/10/2011
Last updated 10/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 562539-1
  • NY License # F305794-1
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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