Individual
GEORGIA MOLLY CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
672 STONELEIGH AVE, CARMEL, NY 10512-4634
(845) 279-2000
(845) 279-4695
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241951
NY
207RG0100X
Gastroenterology Physician
Primary
241951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03266575
—
NV
Enumeration date
03/11/2007
Last updated
11/16/2016
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