Basic Information
Provider Information
NPI: 1629043039
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUGENSTEIN
FirstName: HAROLD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2800 MARCUS AVE
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110421113
CountryCode: US
TelephoneNumber: 5166226000
FaxNumber: 5166082889
Practice Location
Address1: 19 MORRIS AVE
Address2:  
City: ROCKVILLE CENTRE
State: NY
PostalCode: 11570
CountryCode: US
TelephoneNumber: 5167661700
FaxNumber: 5167632734
Other Information
ProviderEnumerationDate: 02/20/2006
LastUpdateDate: 12/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085N0700X162675NYN Allopathic & Osteopathic PhysiciansRadiologyNeuroradiology
2085R0202X162675NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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