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Individual

SIBY GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1275 FULTON AVE, BRONX, NY 10456-3401
(718) 579-7006
Mailing address
1275 FULTON AVE, BRONX, NY 10456-3401
(718) 579-7006

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
046619
NY

Other

Enumeration date
04/05/2010
Last updated
04/05/2010
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