Provider Demographics
NPI:1912546698
Name:CUJI, LUIS (RN)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:
Last Name:CUJI
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 LOWNDES AVE APT C
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1312
Mailing Address - Country:US
Mailing Address - Phone:631-662-9244
Mailing Address - Fax:
Practice Address - Street 1:160 LOWNDES AVE APT C
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1312
Practice Address - Country:US
Practice Address - Phone:631-662-9244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY709226163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse