Provider Demographics
NPI:1831138361
Name:AUGELLO, SABINO ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:SABINO
Middle Name:ANTHONY
Last Name:AUGELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2318 31ST ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2892
Mailing Address - Country:US
Mailing Address - Phone:718-932-6000
Mailing Address - Fax:718-932-3194
Practice Address - Street 1:2318 31ST ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2892
Practice Address - Country:US
Practice Address - Phone:718-932-6000
Practice Address - Fax:718-932-3194
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY214234207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02694388Medicaid
NY02694388Medicaid
I29626Medicare UPIN
NYG400009878Medicare PIN