Wuri Prima Kusumastuti
Wuri Prima Kusumastuti is an Early Intervention Provider Agency in Woodside, New York. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4846 47th St Apt 4GWoodside, NY 11377-7269
Phone: (347) 239-3225
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1639955453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
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