Basic Information
Provider Information
NPI: 1306074430
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAJUSTE
FirstName: MURIEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 68 S SERVICE RD STE 350
Address2:  
City: MELVILLE
State: NY
PostalCode: 117472358
CountryCode: US
TelephoneNumber: 7032959360
FaxNumber: 5169453131
Practice Location
Address1: 121 DEKALB AVE
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112015425
CountryCode: US
TelephoneNumber: 7182508000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/26/2009
LastUpdateDate: 10/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X265948NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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