Individual
LENNY SYRIAC GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26NJ00654000
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00654000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00654000
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00654000
NJ
Other
Enumeration date
03/30/2017
Last updated
02/24/2023
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