Individual
MR. GEORGE LEE MARKWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
55 CENTRAL PLZ, ILION, NY 13357-1701
(315) 894-0071
(315) 894-0078
Mailing address
55 CENTRAL PLZ, ILION, NY 13357-1701
(315) 894-0071
(315) 894-0078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
460581
NY
363LF0000X
Family Nurse Practitioner
Primary
334948
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02625285
—
NY
Enumeration date
05/23/2005
Last updated
02/28/2011
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