Healthcare Provider Details

I. General information

NPI: 1174764120
Provider Name (Legal Business Name): VALERIE CUYJET N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2009
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 MADISON AVE
NEW YORK NY
10035-2745
US

IV. Provider business mailing address

PO BOX 2805 8 SOUND VIEW DRIVE
SAG HARBOR NY
11963-0121
US

V. Phone/Fax

Practice location:
  • Phone: 212-987-1777
  • Fax:
Mailing address:
  • Phone: 631-725-4147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF-420467
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: