Provider Demographics
NPI:1568794303
Name:AUGUSTE, SONIA SAGET (LPN)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:SAGET
Last Name:AUGUSTE
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 1:157 6TH AVE
Mailing Address - Street 2:APT 16A
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1634
Mailing Address - Country:US
Mailing Address - Phone:845-352-4048
Mailing Address - Fax:
Practice Address - Street 1:30 WILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3006
Practice Address - Country:US
Practice Address - Phone:845-352-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2887881164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse