Individual
ANNA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450, LAKEVILLE ROAD, LAKESUCCESS, NY 11042
(516) 734-8070
Mailing address
8810 SABRE ST, QUEENS VILLAGE, NY 11427-2726
(516) 743-8070
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
432731
NY
363LF0000X
Family Nurse Practitioner
Primary
F334892
NY
Other
Enumeration date
04/04/2007
Last updated
11/16/2012
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