Healthcare Provider Details

I. General information

NPI: 1063088375
Provider Name (Legal Business Name): ADRIANNA IANNOTTI CUOMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 SAW MILL RIVER RD
YORKTOWN HEIGHTS NY
10598-4143
US

IV. Provider business mailing address

1235 PARK LN
YORKTOWN HEIGHTS NY
10598-3660
US

V. Phone/Fax

Practice location:
  • Phone: 914-741-4205
  • Fax: 914-222-8815
Mailing address:
  • Phone: 914-450-5369
  • Fax: 914-222-8815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF345803
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberF345803
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: