Individual
ONORIODE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
19 FANCHER PL, STATEN ISLAND, NY 10303-1616
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
029040
NY
363AS0400X
Surgical Physician Assistant
Primary
029040
NY
Other
Enumeration date
09/30/2022
Last updated
11/20/2025
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