Individual
LATOYA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(347) 423-2158
Mailing address
5719 AVENUE N PH, BROOKLYN, NY 11234-4026
(347) 423-2158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
648913
NY
2084P0800X
Psychiatry Physician
Primary
F405423-01
NY
Other
Enumeration date
10/25/2023
Last updated
03/15/2024
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