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General NPI Number Information
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NPI Number | 1336215516
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Entity Type | Individual
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Provider Name | CORTLYN JETER MD
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | MOUNT SINAI MEDICAL CENTER 1 GUSTAVE L. LEVY PLACE
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City | NEW YORK
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State | NY
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Zip | 10029
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Country | US
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Telephone | 212-241-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 703 MAIN ST ST JOSEPHS HOSPITAL AND MEDICAL CENTER
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-2040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MA06215400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 206418-01
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License Number State | NY
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