Individual
CHARLES N. CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1414
(212) 774-2348
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
149220
NY
207X00000X
Orthopaedic Surgery Physician
39238
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
039238
CT
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
149220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799820
—
NY
Enumeration date
10/05/2006
Last updated
12/18/2020
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