Provider Demographics
NPI:1427852011
Name:TUFANO, MARY (FDN-P)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:TUFANO
Suffix:
Gender:
Credentials:FDN-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 MELBURY RD
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3340
Mailing Address - Country:US
Mailing Address - Phone:631-629-9942
Mailing Address - Fax:631-529-0123
Practice Address - Street 1:157 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-2830
Practice Address - Country:US
Practice Address - Phone:631-629-9942
Practice Address - Fax:631-529-0123
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator