Wuri Prima Kusumastuti

NPI #1639955453 in Woodside, New York

Provider Information

NPI Number
1639955453
Entity Type
Individual
Name
Wuri Prima Kusumastuti
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Sep 6, 2023
Last Updated
Sep 6, 2023

Practice Location

Address
4846 47TH ST APT 4G
ZIP Code
11377-7269
Phone
(347) 239-3225

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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