Provider Demographics
NPI:1275822058
Name:AUGUSTIN PEDIATRICS PLLC
Entity Type:Organization
Organization Name:AUGUSTIN PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORIGINAL MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-425-9600
Mailing Address - Street 1:263 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3702
Mailing Address - Country:US
Mailing Address - Phone:845-425-9600
Mailing Address - Fax:
Practice Address - Street 1:263 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3702
Practice Address - Country:US
Practice Address - Phone:845-425-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty