Provider Demographics
NPI:1114918976
Name:CUASUI, ROSE MARY KAW (DDS)
Entity Type:Individual
Prefix:
First Name:ROSE MARY
Middle Name:KAW
Last Name:CUASUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8330 VIETOR AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3260
Mailing Address - Country:US
Mailing Address - Phone:718-507-8887
Mailing Address - Fax:718-507-1024
Practice Address - Street 1:8330 VIETOR AVE
Practice Address - Street 2:STE 102
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3260
Practice Address - Country:US
Practice Address - Phone:718-507-8887
Practice Address - Fax:718-507-1024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046547122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist