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Contact Information

BRIE D TUTTLE, PAC
1729 BURRSTONE RD
NEW HARTFORD, NY13413
 Phone: 318-798-1840
 Fax: 315-798-1648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIE D TUTTLE · (Female)

NPI Number 1891750519
Status Active
Credentials PAC
Entity Individual
Enumeration date 04/18/2006
Last updated 06/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 013110
  • NY Medicaid 01335432
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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