Organization
CORTLAND ENT, PC
Active
Organization
CORTLAND ENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ KUMAR MD (OWNER)
(607) 753-6560
Entity
Organization
Contact information
Practice address
64 POMEROY ST, CORTLAND, NY 13045-2708
(607) 753-6560
(607) 753-6566
Mailing address
64 POMEROY ST, CORTLAND, NY 13045-2708
(607) 753-6560
(607) 753-6566
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
241226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02806619
—
NY
Enumeration date
09/25/2007
Last updated
04/28/2011
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