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Individual

ELIZABETH GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
249843
NY
208M00000X
Hospitalist Physician
Primary
249843
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03035518
NY
Enumeration date
08/07/2008
Last updated
08/17/2020
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