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Individual

DANIEL GEORGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
15015 109TH RD, JAMAICA, NY 11433-3108
(917) 600-3531
(888) 651-5187
Mailing address
15015 109TH RD, JAMAICA, NY 11433-3108
(626) 212-2175
(888) 651-5187

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
766476
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407084
NY

Other

Enumeration date
04/17/2019
Last updated
05/02/2026
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