Provider Demographics
NPI:1528495447
Name:HUJUS, NINFA LAGDAMIN
Entity type:Individual
Prefix:MRS
First Name:NINFA
Middle Name:LAGDAMIN
Last Name:HUJUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HEMLOCK HILL LN
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4403
Mailing Address - Country:US
Mailing Address - Phone:845-826-4455
Mailing Address - Fax:
Practice Address - Street 1:14 HEMLOCK HILL LN
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:NY
Practice Address - Zip Code:10901-4403
Practice Address - Country:US
Practice Address - Phone:845-826-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315654-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse