Provider Demographics
NPI:1982730453
Name:CUOMO, RICK CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:CHARLES
Last Name:CUOMO
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:239 GLENVILLE RD
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-4172
Mailing Address - Country:US
Mailing Address - Phone:203-531-9191
Mailing Address - Fax:203-532-9194
Practice Address - Street 1:239 GLENVILLE RD
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-4172
Practice Address - Country:US
Practice Address - Phone:203-531-9191
Practice Address - Fax:203-532-9194
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT000749111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTT79857Medicare UPIN