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Individual
MRS. EVELYN TERESA CUOMO
Active
Individual
MRS. EVELYN TERESA CUOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3081291
NY
302F00000X
Exclusive Provider Organization
308129-1
NY
Other
Enumeration date
07/23/2007
Last updated
08/09/2008
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