Individual
MR. JONATHAN R FUGO-TUTALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
92 OLD ROUTE 9W, SUITE 100, NEW WINDSOR, NY 12553-5485
(845) 565-7040
(845) 565-7060
Mailing address
92 OLD ROUTE 9W, SUITE 100, NEW WINDSOR, NY 12553-5485
(845) 565-7040
(845) 565-7060
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
260705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03372070
—
NY
Enumeration date
07/18/2007
Last updated
06/13/2024
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