Kusumastuti, Wuri Prima

Kusumastuti, Wuri Prima is an sole proprietor health care provider with primary practice located at 4846 47Th St Apt 4G , Woodside NY 11377-7269. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Kusumastuti, Wuri Prima can be contacted via phone (347) 239-3225.

Contact Information

Primary practice address
4846 47Th St Apt 4G Woodside NY 11377-7269
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1639955453
LBN Legal business name Kusumastuti, Wuri Prima
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2023
Last updated Sep 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers