Individual
DR. GEORGE M MALEGIANNAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 AVENUE P, SUITE # 1A, BROOKLYN, NY 11229-1303
(718) 375-7595
(718) 375-7559
Mailing address
1811 AVENUE P, BROOKLYN, NY 11229-1303
(718) 375-7595
(718) 375-7559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02499338
—
NY
01
—
224662
LICENSE
NY
Enumeration date
03/24/2006
Last updated
07/08/2007
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