# BC NURSE PRACTITIONER IN ADULT HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831997303
- **Authorized official:** BRIAN CUJILAN (OWNER)
- **Authorized official phone:** (516) 474-5080

## Contact information

- **Practice address:** 14 JACKSON AVE, ROCKVILLE CENTRE, NY 11570-3110
- **Practice address phone:** (516) 474-5085
- **Practice address fax:** (516) 570-8877
- **Mailing address:** 14 JACKSON AVE, ROCKVILLE CENTRE, NY 11570-3110
- **Mailing address phone:** (516) 474-5080
- **Mailing address fax:** (516) 570-8877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2025
- **Last updated:** 05/01/2025