Healthcare Provider Details

I. General information

NPI: 1316158405
Provider Name (Legal Business Name): ESTEBAN CUARTAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/06/2020
Certification Date: 08/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553
US

IV. Provider business mailing address

155 CRYSTAL RUN RD
MIDDLETOWN NY
10941-4057
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-8060
  • Fax: 845-561-8523
Mailing address:
  • Phone: 845-703-6999
  • Fax: 845-703-6297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number248592
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: