Individual
DR. CHRISTOPHER DANIEL FUCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1336 CEDAR ST, ELMIRA, NY 14904-2951
(607) 734-3929
(570) 887-6820
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
244514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02905860
—
NY
05
—
1020010370001
—
PA
Enumeration date
10/18/2006
Last updated
03/09/2021
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