Provider Demographics
NPI:1669631263
Name:CUOMO, YOLANDA MARIA (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:MARIA
Last Name:CUOMO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 FIRST STREET
Mailing Address - Street 2:3MAIN NEUROSCIENCE OFFICE
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501
Mailing Address - Country:US
Mailing Address - Phone:516-663-3833
Mailing Address - Fax:
Practice Address - Street 1:259 1ST ST
Practice Address - Street 2:3MAIN NEUROSCIENCE OFFICE
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3957
Practice Address - Country:US
Practice Address - Phone:516-663-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007409363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical