Basic Information
| Provider Information | |||||||||
| NPI: | 1336199512 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CUTRY | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D.,PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 WEST AVE | ||||||||
| Address2: | SUITE 125 | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128666045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5186934418 | ||||||||
| FaxNumber: | 5186934481 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 WEST AVE | ||||||||
| Address2: | SUITE 125 | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128666045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5186934418 | ||||||||
| FaxNumber: | 5186934481 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 02/19/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 21777 | SC | N | Other Service Providers | Specialist | 208600000X | 262873 | NY | Y | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 21777 | SC | N | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 03393400 | 05 | NY | MEDICAID | T60868 | 05 | SC | MEDICAID |