Individual
JULIE KUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6657 ERIE RD, DERBY, NY 14047-9661
(716) 562-7001
Mailing address
6657 ERIE RD, DERBY, NY 14047-9661
(716) 562-7001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
22606208
NY
163WG0000X
General Practice Registered Nurse
22606208
NY
163WH0200X
Home Health Registered Nurse
22606208
NY
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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