Individual
GEORGE A VASSOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2546 BALLTOWN RD, SUITE 203, SCHENECTADY, NY 12309-1079
(518) 377-8198
(518) 377-0620
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
170673
NY
207RC0000X
Cardiovascular Disease Physician
Primary
170673
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
170673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348356
—
NY
Enumeration date
07/27/2006
Last updated
11/10/2021
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