Provider Demographics
NPI:1417674045
Name:CORTES CARE INTERNAL MEDICINE PC
Entity Type:Organization
Organization Name:CORTES CARE INTERNAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-260-7474
Mailing Address - Street 1:81 IRVING PL # 1F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2208
Mailing Address - Country:US
Mailing Address - Phone:212-260-7474
Mailing Address - Fax:212-260-7447
Practice Address - Street 1:81 IRVING PL # 1F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2208
Practice Address - Country:US
Practice Address - Phone:212-260-7474
Practice Address - Fax:212-260-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty