Provider Demographics
NPI:1326300419
Name:CORTI, PAULINE SUSAN (MS SPECIAL EDUCATIO)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:SUSAN
Last Name:CORTI
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATIO
Other - Prefix:
Other - First Name:PAULINE
Other - Middle Name:SUSAN
Other - Last Name:CARBONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL EDUCATION
Mailing Address - Street 1:464 ROUTE 17A
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:NY
Mailing Address - Zip Code:10921-1014
Mailing Address - Country:US
Mailing Address - Phone:866-533-1020
Mailing Address - Fax:845-651-2258
Practice Address - Street 1:464 ROUTE 17A
Practice Address - Street 2:
Practice Address - City:FLORIDA
Practice Address - State:NY
Practice Address - Zip Code:10921-1014
Practice Address - Country:US
Practice Address - Phone:866-533-1020
Practice Address - Fax:845-651-2258
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist