| Doctor Name: | CHERYL CUOZZO |
| NPI Number: | 1063791622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 4739 |
| Business Practice Address: | 1687 Boston Post Rd Old Saybrook, CT - 064751608 |
| Business Phone Number: | 8606615976 |
| Business Fax Number: | 8603588664 |
| Mailing Address: | 28 Crescent St, MIDDLETOWN |
| State: | CT |
| Postal Code: | 064573654 |
| Phone Number: | 8603584820 |
| Fax Number: | 8603588661 |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4739 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |