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General NPI Number Information
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NPI Number | 1477555761
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Entity Type | Individual
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Provider Name | ALFONSO CUTUGNO MD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 6511 SPRING BROOK AVE STE 101
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City | RHINEBECK
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State | NY
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Zip | 12572-3709
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Country | US
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Telephone | 845-871-3545
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Fax | 845-871-3546
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Provider Business Mailing Address
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Address Line | PO BOX 195
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City | WEST PARK
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State | NY
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Zip | 12493-0195
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Country | US
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Telephone | 845-706-7062
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 210263
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | EL11277
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License Number State | NH
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