Provider Demographics
NPI:1275771966
Name:BRUNO CORTES, OMAYRA (MSW)
Entity Type:Individual
Prefix:MS
First Name:OMAYRA
Middle Name:
Last Name:BRUNO CORTES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HILL STREET
Mailing Address - Street 2:APT. 17K
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102
Mailing Address - Country:US
Mailing Address - Phone:973-704-0651
Mailing Address - Fax:718-672-2027
Practice Address - Street 1:10 HILL ST
Practice Address - Street 2:APT. 17K
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-5601
Practice Address - Country:US
Practice Address - Phone:973-704-0651
Practice Address - Fax:718-672-2027
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker