Provider Demographics
NPI:1760849855
Name:CUKIER, AVIVA
Entity Type:Individual
Prefix:
First Name:AVIVA
Middle Name:
Last Name:CUKIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AVIVA
Other - Middle Name:
Other - Last Name:ZELMANOVITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1312-38 STREET
Mailing Address - Street 2:YELED V YALDA
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218
Mailing Address - Country:US
Mailing Address - Phone:917-613-2429
Mailing Address - Fax:
Practice Address - Street 1:1312-38 STREET
Practice Address - Street 2:YELED V YALDA
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218
Practice Address - Country:US
Practice Address - Phone:917-613-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist