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Organization
BC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization
BC NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CUJILAN (OWNER)
(516) 474-5080
Entity
Organization
Contact information
Practice address
14 JACKSON AVE, ROCKVILLE CENTRE, NY 11570-3110
(516) 474-5085
(516) 570-8877
Mailing address
14 JACKSON AVE, ROCKVILLE CENTRE, NY 11570-3110
(516) 474-5080
(516) 570-8877
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
05/01/2025
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