Individual
GRACE T GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
95 GRASSLANDS ROAD, UNIVERSITY IMAGING AND MEDICAL ASSC. PC, VALHALLA, NY 10595
(914) 493-8881
(914) 493-1195
Mailing address
95 GRASSLANDS ROAD, UNIVERSITY IMAGING AND MEDICAL ASSC. PC, VALHALLA, NY 10595
(914) 493-8881
(914) 493-1195
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
159163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957502
—
NY
Enumeration date
06/29/2006
Last updated
07/08/2007
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