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General NPI Number Information
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NPI Number | 1437339744
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Entity Type | Organization
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Legal Business Name | MICHAEL J. CORTESE, O.D., P.C.
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 52 GENESEE ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2363
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Country | US
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Telephone | 315-733-5206
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Fax | 315-733-0705
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Provider Business Mailing Address
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Address Line | 52 GENESEE ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2363
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Country | US
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Telephone | 315-733-5206
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Fax | 315-733-0705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL J. CORTESE
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Credential | O.D.
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Telephone | 315-868-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 004035
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License Number State | NY
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