Provider Demographics
NPI:1356646582
Name:CAJUSTE, ROSELY (LPN)
Entity Type:Individual
Prefix:
First Name:ROSELY
Middle Name:
Last Name:CAJUSTE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 LOUIS AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-1236
Mailing Address - Country:US
Mailing Address - Phone:347-454-3169
Mailing Address - Fax:
Practice Address - Street 1:89 LOUIS AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-1236
Practice Address - Country:US
Practice Address - Phone:347-454-3169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301542-1372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider