Augustine, Thomas A.
Augustine, Thomas A. is an sole proprietor health care provider with primary practice located at 3671 Southwestern Blvd , Orchard Park NY 14127-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Augustine, Thomas A. can be contacted via phone (716) 662-2595.Contact Information
Primary practice address
3671 Southwestern Blvd
Orchard Park NY 14127-1752
Phone: (716) 662-2595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 101292-1 | New York |
Profile Details
| NPI number | 1184693236 |
|---|---|
| LBN Legal business name | Augustine, Thomas A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 11th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184693236 | NPPES |
| New York | MEDICAID | 01359017 |
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