Individual
DR. THOMAS GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
242 MASON AVE, STATEN ISLAND, NY 10305-3408
(718) 226-6340
(718) 226-6178
Mailing address
13876 QUEENS BLVD FL 1, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176718
—
NY
01
—
510429841
TAX ID#
NY
Enumeration date
11/22/2005
Last updated
12/23/2008
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