Healthcare Provider Details

I. General information

NPI: 1982350005
Provider Name (Legal Business Name): MARISA ANNE CUVA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

82 BRIARY RD
DOBBS FERRY NY
10522-2024
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-8005
  • Fax:
Mailing address:
  • Phone: 914-255-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403959
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: