Healthcare Provider Details

I. General information

NPI: 1366569253
Provider Name (Legal Business Name): SHU-JUAN CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E 9TH ST FL 2
NEW YORK NY
10003-7536
US

IV. Provider business mailing address

229 E 9TH ST FL 2
NEW YORK NY
10003-7536
US

V. Phone/Fax

Practice location:
  • Phone: 212-253-6171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1499
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: