Individual provider · NPI-1

Dr. Christine Auguste, OD

Optometrist · Bronx, NY

NPI number1821685090
StatusActive
Last updated in NPPESJan 26, 2021

Details

NPI
1821685090
Entity type
Individual (NPI-1)
Name
Dr. Christine Auguste
Credential
OD
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 22, 2020
Certification date
Jan 26, 2021
Last updated
Jan 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist009295NYYes

Practice location

455 E 149th St
Bronx, NY 10455-1314

Phone 718-292-2002

Mailing address

455 E 149th St
Bronx, NY 10455-1314

Other practice locations

415 Commack Rd
Deer Park, NY 11729-4508

Phone 631-392-0711

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