Individual
DR. JOSEPH J FERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2649 STRANG BLVD, SUITE 300, YORKTOWN HEIGHTS, NY 10598-2939
(914) 245-7977
(914) 245-7976
Mailing address
2649 STRANG BLVD, SUITE 300, YORKTOWN HEIGHTS, NY 10598-2939
(914) 245-7977
(914) 245-7976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113556225
ADDITIONAL OFC LOCATION
NY
01
—
134015321 - TAX ID
ADDITIONAL LOCATION
NY
01
—
161515469
ADDITIONAL OFFICE LOCATIO
NY
01
—
204895164 TAX ID
ADDITIONAL OFFICE LOCATIO
NY
Enumeration date
10/11/2006
Last updated
06/19/2008
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