Provider Demographics
NPI:1205325263
Name:ASCANIO CORTEZ, LUIS C (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:C
Last Name:ASCANIO CORTEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1468 MADISON AVE
Mailing Address - Street 2:ANNENBERG BLDG. 15TH FLOOR. DEPARTMENT OF PATHOLOGY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6508
Mailing Address - Country:US
Mailing Address - Phone:212-241-4398
Mailing Address - Fax:212-241-7388
Practice Address - Street 1:1468 MADISON AVE. ANNENBERG BUILDING.
Practice Address - Street 2:DEPARTMENT OF NEUROSURGERY. 8TH FLOOR - ROOM 28
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6508
Practice Address - Country:US
Practice Address - Phone:212-241-6267
Practice Address - Fax:212-241-7388
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty