Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003456047 |
---|---|
Provider Name | Mr. Nexhip Cuca |
First Address | Woodside, NY 11377-6115 |
Second Address | New York, NY 10016-2708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2020 |
Last Update Date | 07/01/2020 |