Provider Demographics
NPI:1225330202
Name:AUGUSTOWSKI DUFFY, BARBARA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:AUGUSTOWSKI DUFFY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VICTORIA LN
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2030
Mailing Address - Country:US
Mailing Address - Phone:631-878-5904
Mailing Address - Fax:631-775-8181
Practice Address - Street 1:10 VICTORIA LN
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-2030
Practice Address - Country:US
Practice Address - Phone:631-878-5904
Practice Address - Fax:631-775-8181
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-24
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094056-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse