JAIBY AUGUSTINE

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC

Dr JAIBY AUGUSTINE is a male medical professional, specializing in Nurse Practitioner. He graduated in 2011.

Contact

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC

101 HOSPITAL RD
PATCHOGUE
NY
117724870

Tel: 6316547359

JAIBY AUGUSTINE Information

Npi 1386928265
Pac Id 2062737877
Professional Enrollment Id I20150218001386
Last Name AUGUSTINE
First Name JAIBY
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC
Group Practice Pac Id 9739090051
Number Of Group Practice Members 73
Line 1 Street Address 101 HOSPITAL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PATCHOGUE
State NY
Zip Code 117724870
Phone Number 6316547359
Hospital Affiliation Ccn 1 330141
Hospital Affiliation Lbn 1 BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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