Healthcare Provider Details

I. General information

NPI: 1902650526
Provider Name (Legal Business Name): HAIYUE CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4071 LEE RD STE 260
CLEVELAND OH
44128-2173
US

IV. Provider business mailing address

14135 78TH AVE APT 1B
FLUSHING NY
11367-3307
US

V. Phone/Fax

Practice location:
  • Phone: 216-727-0234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberRES.004718
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: