MEDICARE: MR. ALFONSO CUTUGNO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	210263	NY
2	207RX0202X	Medical Oncology Physician	EL11277	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477555761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALFONSO CUTUGNO MD

Provider Business Mailing Address
First Line	:	PO BOX 195
Second Line	:
City	:	WEST PARK
State	:	NY
Zip	:	12493-0195
Country	:	US
Telephone Number	:	845-706-7062
Fax Number	:

Provider Business Practice Location Address
First Line	:	6511 SPRING BROOK AVE STE 101
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3709
Country	:	US
Telephone Number	:	845-871-3545
Fax Number	:	845-871-3546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/13/2023

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