Healthcare Provider Details

I. General information

NPI: 1194397562
Provider Name (Legal Business Name): BRITTANY AUGUGLIARO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 BELL BLVD STE 203
BAYSIDE NY
11361-2097
US

IV. Provider business mailing address

1616 E 4TH ST
BROOKLYN NY
11230-6905
US

V. Phone/Fax

Practice location:
  • Phone: 718-504-9256
  • Fax: 718-830-9088
Mailing address:
  • Phone: 516-849-7240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103059
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: