Individual
DR. JAIME LUIS CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4260 BROADWAY, NEW YORK, NY 10033-3726
(212) 923-2173
Mailing address
6645 BROADWAY, APT. 5H, BRONX, NY 10471-2042
(718) 548-2072
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
175956
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01391280
—
NY
Enumeration date
02/09/2007
Last updated
07/08/2007
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