Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jorge Luis Cornielle, MD

Individual provider Pediatrics Physician · NPI 1255408365

Dr. Jorge Luis Cornielle, MD is a Pediatrics Physician in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1262 Boston Rd
Bronx, NY 10456-3602
Phone: (718) 617-2500
Fax: (718) 617-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 214716 (NY)

Record details

NPI number1255408365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2006
Last updated in NPPESDecember 8, 2011
Mailing address102 Princeton Dr, Tappan, NY 10983-1026

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