Individual
CASCABEL DIEUJUSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 CROOKED HILL RD, WEST BRENTWOOD, NY 11717-1019
(631) 761-3500
Mailing address
155 N 26TH ST, WYANDANCH, NY 11798-2004
(631) 398-1847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
780645-01
NY
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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