Cornell, James S

Cornell, James S is an individual health care provider with primary practice located at 31-00 Broadway , Fair Lawn NJ 07410-3963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Cornell, James S can be contacted via phone (201) 796-2255.

Contact Information

Primary practice address
31-00 Broadway Fair Lawn NJ 07410-3963
Phone: (201) 796-2255
Fax: (201) 796-3711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA05633300 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA06342700 New Jersey

Profile Details

NPI number 1588721831
LBN Legal business name Cornell, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jan 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588721831 NPPES
New York Other 01363491 NEW YORK MEDICAID ID
New York MEDICAID 6225802 NEW YORK MEDICAID ID

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