Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zachary William Augustine, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548919772

Zachary William Augustine, MD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

151 Intrepid Ln
Syracuse, NY 13205
Phone: (315) 469-8191
Fax: (315) 469-4482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 334282 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548919772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESJuly 22, 2025
Certification dateMarch 23, 2022
Mailing address151 Intrepid Lane, Syracuse, NY 13205

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