Provider Demographics
NPI:1043601818
Name:AUGUSTE, ADENIKE (NP)
Entity type:Individual
Prefix:
First Name:ADENIKE
Middle Name:
Last Name:AUGUSTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 GREENE AVE
Mailing Address - Street 2:SUITE LLB
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-6406
Mailing Address - Country:US
Mailing Address - Phone:718-789-5900
Mailing Address - Fax:
Practice Address - Street 1:55 GREENE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-6406
Practice Address - Country:US
Practice Address - Phone:718-789-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-14
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4207641363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health