Fugo-Tutalo, Cassandra Marie

Fugo-Tutalo, Cassandra Marie is an individual health care provider with primary practice located at 92 Old Route 9W Suite 100 , New Windsor NY 12553-5485. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fugo-Tutalo, Cassandra Marie 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) 517-1924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348728 New York

Profile Details

NPI number 1295498046
LBN Legal business name Fugo-Tutalo, Cassandra Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2021
Last updated Jun 13th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295498046 NPPES
New York MEDICAID PENDING

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