Individual
DR. GEORGE E ANASTASSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
18 E 50TH ST, 5 FLOOR, NEW YORK, NY 10022-6817
(212) 751-0001
(212) 753-0540
Mailing address
18 E 50TH ST, 5 FLOOR, NEW YORK, NY 10022-9114
(212) 751-0001
(212) 753-0540
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01760705
—
NY
Enumeration date
06/09/2006
Last updated
07/08/2007
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