Bc Nurse Practitioner In Adult Health PLLC
Nurse Practitioner, Adult Health in Rockville Centre, NY. Organization (NPI-2).
NPI number1831997303
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1831997303
- Entity type
- Organization (NPI-2)
- Legal business name
- Bc Nurse Practitioner In Adult Health PLLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2025
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
14 Jackson AveRockville Centre, NY 11570-3110
Phone 516-474-5085 · Fax 516-570-8877
Mailing address
14 Jackson AveRockville Centre, NY 11570-3110
Phone 516-474-5080 · Fax 516-570-8877
Authorized official
Brian Cujilan
Owner
5164745080
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