SearchNew York163W00000X

Matthew Augustus

NPI 1538705850 · on the registry since 2019 · sole proprietor

Practice

Address
648 Watkins St
Brooklyn, NY 11212
Phone
(347) 388-0635

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York