Individual provider · NPI-1

Tamara Lynn Augustin, M.D.

Internal Medicine · Stony Brook, NY

NPI number1336376797
StatusActive
Last updated in NPPESJul 16, 2014

Details

NPI
1336376797
Entity type
Individual (NPI-1)
Name
Tamara Lynn Augustin
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2009
Last updated
Jul 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine266971NYYes
208M00000X Hospitalist051241CT
208M00000X Hospitalist266971NY

Practice location

Stony Brook University Hospital
Stony Brook, NY 11794-0001

Phone 631-444-0658

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Phone 631-444-0658

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