Provider Demographics
NPI:1376010322
Name:CUOMO, MARGARET O'CONNOR (NP)
Entity Type:Individual
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First Name:MARGARET
Middle Name:O'CONNOR
Last Name:CUOMO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:622 WEST 168TH STREET
Mailing Address - Street 2:PH12, ROOM 1270
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-317-6758
Mailing Address - Fax:212-305-7439
Practice Address - Street 1:622 WEST 168TH STREET
Practice Address - Street 2:PH12, ROOM 1270
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-317-6758
Practice Address - Fax:212-305-7439
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2019-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY343298363LF0000X
NYF343298-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily