NPI 1407892144 · live from the CMS NPI Registry
Erie T Agustin, MD
Family Medicine in Woodside, NY. National Provider Identifier 1407892144, active.
NPI record
| NPI | 1407892144 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5718 Woodside Ave Fl 2, Woodside, NY 11377 |
| Practice phone | 718-205-0030 |
| Enumerated | June 21, 2006 |
| Last updated | November 21, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 196473 (NY) |
| Emergency Medicine | 207P00000X | 196473 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.