Provider Demographics
NPI:1629234133
Name:CORT, PHILIP NORMAN (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:NORMAN
Last Name:CORT
Suffix:
Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:95 WINTHROP AVE
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1909
Mailing Address - Country:US
Mailing Address - Phone:914-261-8630
Mailing Address - Fax:914-593-7104
Practice Address - Street 1:710 W 168TH ST FL 4
Practice Address - Street 2:NEW YORK PRESBYTERIAN HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3726
Practice Address - Country:US
Practice Address - Phone:212-305-3260
Practice Address - Fax:212-305-9844
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2011-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY012626-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicaid
NYPENDINGMedicare PIN
PENDINGMedicare UPIN
NYPENDINGMedicaid
NYPENDINGMedicare Oscar/Certification