Individual
DR. BRENDA POYKAYIL GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
284 PULASKI RD, DOLAN FAMILY HEALTH CENTER, GREENLAWN, NY 11740-1602
(631) 425-5250
Mailing address
284 PULASKI RD, DOLAN FAMILY HEALTH CENTER, GREENLAWN, NY 11740-1602
(631) 425-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03254840
—
NY
Enumeration date
03/25/2008
Last updated
12/16/2011
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