Individual
DR. LOUIS C CUTOLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1557 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 720-9400
(718) 556-1201
Mailing address
1557 VICTORY BOULEVARD, STATEN ISLAND, NY 10314
(718) 720-9400
(718) 665-1201
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
168307
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557831
—
NY
Enumeration date
06/17/2006
Last updated
09/21/2016
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