Provider Demographics
NPI:1326344359
Name:CORTES, MARTHA (DDS)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:CORTES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CENTRAL PARK SOUTH
Mailing Address - Street 2:1G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-262-0950
Mailing Address - Fax:212-262-0947
Practice Address - Street 1:120 CENTRAL PARK SOUTH
Practice Address - Street 2:1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-262-0950
Practice Address - Fax:212-262-0947
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0397921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice