Individual
DR. ENGRACIO P. CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4564 FRANCIS LEWIS BLVD STE 202, BAYSIDE, NY 11361-3085
(631) 751-3000
(631) 751-3000
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
111223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00278506
—
NY
Enumeration date
07/26/2006
Last updated
01/17/2020
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