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JOHN FUTCHKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
(718) 881-5074
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 696-2583
(718) 881-5074

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
305058-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2015
Last updated
12/22/2020
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