Individual
MISS BRIE D TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413
(318) 798-1840
(315) 798-1648
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(318) 798-1840
(315) 798-1648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01335432
—
NY
Enumeration date
04/18/2006
Last updated
06/29/2018
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