MEDICARE: DR. ROBERTO CORTEZ DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N003909-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265429096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO CORTEZ DPM

Provider Business Mailing Address
First Line	:	177 MILL RIVER RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3224
Country	:	US
Telephone Number	:	914-923-3109
Fax Number	:	914-923-3109

Provider Business Practice Location Address
First Line	:	177 MILL RIVER RD
Second Line	:
City	:	CHAPPAQUA
State	:	NY
Zip	:	10514-3224
Country	:	US
Telephone Number	:	914-923-3109
Fax Number	:	914-923-3109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/03/2020

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