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NPI Code Detail

MEDICARE: DR. JIAN CUI M.D.

MEDICARE:  DR. JIAN  CUI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician206610NY
2174400000XSpecialist206610NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21048429OTHERNYAETNA
3113432509OTHERNY1199

General Provider Information

NPI Number : 1487659512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIAN CUI M.D.
Provider Business Mailing Address
First Line : 13620 38TH AVE
Second Line : SUITE 5H
City : FLUSHING
State : NY
Zip : 11354-4233
Country : US
Telephone Number : 718-661-9554
Fax Number : 718-661-9556
Provider Business Practice Location Address
First Line : 13620 38TH AVE
Second Line : SUITE 5H
City : FLUSHING
State : NY
Zip : 11354-4233
Country : US
Telephone Number : 718-661-9554
Fax Number : 718-661-9556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 02/15/2021

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