Individual
GEORGE ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5320
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-5320
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
213995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02495105
—
NY
Enumeration date
02/23/2006
Last updated
10/31/2014
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