Organization
CORTEX GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH H SHUBIN STEIN MD (CHAIR)
(917) 453-1081
Entity
Organization
Contact information
Practice address
265 POST RD W, WESTPORT, CT 06880-4746
(917) 453-1081
Mailing address
265 POST RD W, WESTPORT, CT 06880-4746
(917) 453-1081
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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