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Individual

VERGHESE GEORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
811 WALT WHITMAN RD, MELVILLE, NY 11747-2208
(631) 249-3000
(631) 249-1878
Mailing address
811 WALT WHITMAN RD, MELVILLE, NY 11747-2208
(631) 249-3000
(631) 249-1878

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
148203
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
148203
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00841492
NY
Enumeration date
09/16/2006
Last updated
02/21/2020
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