Provider Demographics
NPI:1982954459
Name:CUNICO ENTERPRISES, INC.
Entity Type:Organization
Organization Name:CUNICO ENTERPRISES, INC.
Other - Org Name:CUNICO FAMILY HEALTH AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CUNICO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-948-7595
Mailing Address - Street 1:12 LAWRENCE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2822
Mailing Address - Country:US
Mailing Address - Phone:973-948-7595
Mailing Address - Fax:973-948-7530
Practice Address - Street 1:12 LAWRENCE RD STE 201
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2822
Practice Address - Country:US
Practice Address - Phone:973-948-7595
Practice Address - Fax:973-948-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty