Basic Information
Provider Information
NPI: 1316158405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUARTAS
FirstName: ESTEBAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 155 CRYSTAL RUN RD
Address2:  
City: MIDDLETOWN
State: NY
PostalCode: 109414057
CountryCode: US
TelephoneNumber: 8457036999
FaxNumber: 8457036297
Practice Location
Address1: 219 BLOOMING GROVE TPKE
Address2:  
City: NEW WINDSOR
State: NY
PostalCode: 12553
CountryCode: US
TelephoneNumber: 8455618060
FaxNumber: 8455618523
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 08/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X248592NYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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