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Individual

DR. GEORGE KOLLAROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 DEKALB AVE, BROOKLYN, NY 11201-5324
(718) 237-0222
(718) 522-1556
Mailing address
24-54 28TH STREET, ASTORIA, NY 11102
(718) 237-0222
(718) 522-1556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049879
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02284022
NY
Enumeration date
01/19/2007
Last updated
07/08/2007
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