Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Maryellen Cucuzzo, NURSEPRACTITIONER

Individual provider Women's Health Nurse Practitioner · NPI 1003257320

MS. Maryellen Cucuzzo, NURSEPRACTITIONER is a Women's Health Nurse Practitioner in Brentwood, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

600 Suffolk Ave Ste C
Brentwood, NY 11717-4311
Phone: (631) 273-3712
Fax: (631) 273-3745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence F421100-1 (NY)

Record details

NPI number1003257320
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013

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