Provider Demographics
NPI:1639422793
Name:CORTES, ALEXANDER B (DVM)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:B
Last Name:CORTES
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:DR
Other - First Name:ALEXANDER
Other - Middle Name:B
Other - Last Name:CORTES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DVM
Mailing Address - Street 1:10105 AVENUE L
Mailing Address - Street 2:# 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4409
Mailing Address - Country:US
Mailing Address - Phone:917-399-3536
Mailing Address - Fax:
Practice Address - Street 1:9518 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4811
Practice Address - Country:US
Practice Address - Phone:718-444-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011059174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian