Individual
MRS. ELISABETH ETA CUOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
815 BROADWAY, BAYONNE, NJ 07002-2919
(201) 823-6027
Mailing address
604 MONROE ST APT 6, HOBOKEN, NJ 07030-6399
(908) 868-6245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00585100
NJ
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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