Fugo-Tutalo, Jonathan R
Fugo-Tutalo, Jonathan R is an sole proprietor health care provider with primary practice located at 92 Old Route 9W Suite 100, New Windsor NY 12553-5485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fugo-Tutalo, Jonathan R can be contacted via phone (845) 565-7040.Contact Information
Primary practice address
92 Old Route 9W Suite 100
New Windsor NY 12553-5485
Phone: (845) 565-7040
Fax: (845) 565-7060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 260705 | New York |
Profile Details
| NPI number | 1407056534 |
|---|---|
| LBN Legal business name | Fugo-Tutalo, Jonathan R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jun 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407056534 | NPPES |
| New York | MEDICAID | 03372070 |
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