Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | F4207641 | NY |
NPI | 1043601818 |
---|---|
Provider Name | Adenike Auguste |
First Address | Brooklyn, NY 11238-6406 |
Second Address | Brooklyn, NY 11238-6406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2015 |
Last Update Date | 24/02/2021 |