Provider Demographics
NPI:1588873590
Name:ANGELA CUTRONE, M.D., PC
Entity type:Organization
Organization Name:ANGELA CUTRONE, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTRONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-462-3466
Mailing Address - Street 1:6143 JERICHO TPKE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2809
Mailing Address - Country:US
Mailing Address - Phone:631-462-3466
Mailing Address - Fax:631-462-3471
Practice Address - Street 1:635 MADISON AVE
Practice Address - Street 2:10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:631-462-3466
Practice Address - Fax:631-462-3471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170820-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty