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NPI Code Detail

MEDICARE: DR. DARYL AUGUSTINE D.P.M

MEDICARE:  DR. DARYL  AUGUSTINE  D.P.M
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristN006998NY

General Provider Information

NPI Number : 1164879037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARYL AUGUSTINE D.P.M
Provider Business Mailing Address
First Line : 240 E SHORE RD PH 21
Second Line :
City : GREAT NECK
State : NY
Zip : 11023-2450
Country : US
Telephone Number : 516-510-6741
Fax Number :
Provider Business Practice Location Address
First Line : 3626 E TREMONT AVE STE 102
Second Line :
City : BRONX
State : NY
Zip : 10465-2030
Country : US
Telephone Number : 718-409-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2016
Last Update Date : 12/03/2025

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