Provider Demographics
NPI:1053543561
Name:KUEK, LAYLA JO (RN)
Entity type:Individual
Prefix:MS
First Name:LAYLA
Middle Name:JO
Last Name:KUEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7893 MARGARETTA RD
Mailing Address - Street 2:
Mailing Address - City:SODUS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:14555-9625
Mailing Address - Country:US
Mailing Address - Phone:585-734-7923
Mailing Address - Fax:
Practice Address - Street 1:7893 MARGARETTA RD
Practice Address - Street 2:
Practice Address - City:SODUS POINT
Practice Address - State:NY
Practice Address - Zip Code:14555-9625
Practice Address - Country:US
Practice Address - Phone:585-734-7923
Practice Address - Fax:585-282-0882
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY473962-1163W00000X
NY310069363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse