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Individual

DR. GEORGE M DEVITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
656 LARKFIELD RD, EAST NORTHPORT, NY 11731-4923
(631) 266-1622
(631) 266-1622
Mailing address
384 E MAIN ST, EAST ISLIP, NY 11730-2821
(631) 650-5308

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006018-1
NY

Other

Enumeration date
07/20/2005
Last updated
06/17/2008
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