Honeylee Duque Agustin, M.D.
Individual provider Active NPI Specialist · Ogdensburg, NY
NPI 1285918482 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1285918482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 003924 (NY)
- Practice address
- 3 Lyon PL
Ogdensburg, NY 13669-2590 - Phone
- (315) 713-6770
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180927001566 | NY | Practitioner - Pediatric Medicine | 1658622840 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming County | Current |
Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current |
Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Watertown Pediatrics,PC | Specialist | Past | Accepting new patients |
| Pediatric Wellness of Northern New York | Past | Accepting new patients |
Locations
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 003924 | NY | Yes |
Addresses
Primary practice location
3 Lyon PL
Ogdensburg, NY 13669-2590
Mailing address
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-8940
Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.