Individual
JOHNY KATTIL GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 NY-25A, SMITHTOWN, NY 11787
(631) 862-3000
Mailing address
50 NY-25A, SMITHTOWN, NY 11787-3448
(631) 862-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
336657
NY
Other
Enumeration date
05/08/2021
Last updated
07/22/2025
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