Individual
EMILY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1184 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-9500
Mailing address
1184 5TH AVE, NEW YORK, NY 10029-6503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022739
NY
363AM0700X
Medical Physician Assistant
022739
NY
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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