Healthcare Provider Details

I. General information

NPI: 1760372890
Provider Name (Legal Business Name): CUI CUI DMD, MSC, MSC, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 MAIN ST
BUFFALO NY
14214-3001
US

IV. Provider business mailing address

3435 MAIN ST
BUFFALO NY
14214-3001
US

V. Phone/Fax

Practice location:
  • Phone: 647-877-5201
  • Fax: 647-877-5201
Mailing address:
  • Phone: 647-877-5201
  • Fax: 647-877-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number000166-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: