Cortes, Engracio P.

Cortes, Engracio P. is an sole proprietor health care provider with primary practice located at 4564 Francis Lewis Blvd Ste 202 , Bayside NY 11361-3085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Cortes, Engracio P. can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
4564 Francis Lewis Blvd Ste 202 Bayside NY 11361-3085
Fax: (631) 751-3000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 111223 New York

Profile Details

NPI number 1902820996
LBN Legal business name Cortes, Engracio P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jan 17th, 2020 - about 5 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 1902820996 NPPES
New York MEDICAID 00278506

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