Healthcare Provider Details

I. General information

NPI: 1801603576
Provider Name (Legal Business Name): CORTEX HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3449 POST RD
SOUTHPORT CT
06890-1399
US

IV. Provider business mailing address

55 POST RD W FL 2
WESTPORT CT
06880-4235
US

V. Phone/Fax

Practice location:
  • Phone: 917-453-1081
  • Fax:
Mailing address:
  • Phone: 917-453-1081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH H SHUBIN STEIN
Title or Position: CHAIR
Credential: MD
Phone: 917-453-1081