Individual
MR. PREM GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8005
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8005
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
01/21/2012
Last updated
07/17/2012
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