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Individual

GEORGE GORICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
672 STONELEIGH AVE, STE C116, CARMEL, NY 10512-4635
(845) 279-5187
(845) 279-5168
Mailing address
672 STONELEIGH AVE, STE C116, CARMEL, NY 10512-4635
(845) 279-5187
(845) 279-5168

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
231731
NY
208M00000X
Hospitalist Physician
Primary
231731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02630248
NY
Enumeration date
06/21/2006
Last updated
04/03/2017
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