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General NPI Number Information
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NPI Number | 1922897602
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Entity Type | Organization
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Legal Business Name | DARYL J AUGUSTINE DPM PC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2825 3RD AVE STE 201
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City | BRONX
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State | NY
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Zip | 10455-4066
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Country | US
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Telephone | 718-401-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 240 E SHORE RD PH 21
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City | GREAT NECK
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State | NY
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Zip | 11023-2450
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARYL AUGUSTINE
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Credential | DPM
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Telephone | 516-510-6741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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