Individual
ANNIE JIBI GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
(914) 216-7585
Mailing address
124 CLINTON PARK DR, BERGENFIELD, NJ 07621-2400
(914) 216-7585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
541803-01
NY
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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