Provider Demographics
NPI:1083112908
Name:STUTO FOOT SPECIALIST PODIATRY PLLC
Entity Type:Organization
Organization Name:STUTO FOOT SPECIALIST PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRY
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:STUTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-624-7537
Mailing Address - Street 1:100 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4213
Mailing Address - Country:US
Mailing Address - Phone:718-624-7537
Mailing Address - Fax:718-624-7538
Practice Address - Street 1:100 REMSEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201
Practice Address - Country:US
Practice Address - Phone:718-624-7537
Practice Address - Fax:718-624-7538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N003993-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty