Individual
GEORGE PAHALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
198 N COLUMBUS AVE, FREEPORT, NY 11520-2310
(917) 756-5279
Mailing address
13209 109TH AVE, SOUTH OZONE PARK, NY 11420-1701
(917) 756-5279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322447
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408078
NY
Other
Enumeration date
06/17/2016
Last updated
01/30/2026
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