Individual
MS. VIOLA ELEYAMMA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021177
NY
208600000X
Surgery Physician
Primary
021177-01
NY
Other
Enumeration date
09/07/2017
Last updated
07/29/2026
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