Provider Demographics
NPI:1275825408
Name:TUFANIO, JOHN LOUIS (LCSW-R, BCD, ACHT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LOUIS
Last Name:TUFANIO
Suffix:
Gender:M
Credentials:LCSW-R, BCD, ACHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MILANO CT
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1212
Mailing Address - Country:US
Mailing Address - Phone:914-450-7586
Mailing Address - Fax:914-734-1868
Practice Address - Street 1:5 MILANO CT
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1212
Practice Address - Country:US
Practice Address - Phone:914-450-7586
Practice Address - Fax:914-734-1868
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR030730-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical