Individual
MS. THERESA M CORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10021-4870
(212) 746-5454
Mailing address
215 E 95TH ST APT 18H, NEW YORK, NY 10128-4083
(212) 706-7447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00519500
NJ
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
03/29/2007
Last updated
04/11/2024
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