Individual
PHYLLIS GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MA, FNP
Contact information
Practice address
110 MAIN ST, SUITE 2C, POUGHKEEPSIE, NY 12601-6707
(845) 452-2120
(845) 452-2104
Mailing address
110 MAIN ST, SUITE 2C, POUGHKEEPSIE, NY 12601-6707
(845) 452-2120
(845) 452-2104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
189398
NY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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