Individual
DR. PAUL M GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
ROUTE 5 & 5A SANGERTOWN SQUARE, NEW HARTFORD, NY 13413
(315) 733-7858
(315) 733-5201
Mailing address
726 EAGLE STREET, UTICA, NY 13501-4102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004564-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00994270
—
NY
Enumeration date
04/10/2007
Last updated
07/08/2007
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