Provider Demographics
NPI:1689602344
Name:STUTO, JOSEPH CHARLES (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:STUTO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4256
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:11201-4256
Practice Address - Country:US
Practice Address - Phone:718-624-7537
Practice Address - Fax:718-624-7538
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO39931213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00944707Medicaid
NY00944707Medicaid
NYT51258Medicare UPIN