Individual
MR. GEORGE NICHOLAS CONCERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1822
(718) 604-5000
Mailing address
5740 64TH ST, MASPETH, NY 11378-2823
(646) 331-1575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015535
NY
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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