Individual
DR. GEORGE A DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 MARGARET ST, SUITE 101, PLATTSBURGH, NY 12901-1893
(518) 314-3939
(518) 314-3940
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
138452
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
138452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00688055
—
NY
05
—
01420795
—
NY
05
—
01420800
—
NY
Enumeration date
05/11/2006
Last updated
11/20/2023
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