Organization
MG PHYSICIAN SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW GEORGE MD (OWNER)
(917) 921-5765
Entity
Organization
Contact information
Practice address
61 MARY ST, TAPPAN, NY 10983-1720
(917) 921-5765
Mailing address
61 MARY ST, TAPPAN, NY 10983-1720
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
01/02/2025
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