Provider Demographics
NPI:1124030317
Name:AUGUSTE, LOUIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:AUGUSTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:410 LAKEVILLE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1101
Mailing Address - Country:US
Mailing Address - Phone:516-775-2070
Mailing Address - Fax:516-775-3650
Practice Address - Street 1:410 LAKEVILLE RD
Practice Address - Street 2:STE 100
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1101
Practice Address - Country:US
Practice Address - Phone:516-775-2070
Practice Address - Fax:516-775-3650
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2024-01-23
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Provider Licenses
StateLicense IDTaxonomies
NY137137208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB88327Medicare UPIN
NY73A861Medicare ID - Type Unspecified