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
Fax: (845) 565-7060
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1407056534 NPPES
New York MEDICAID 03372070

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