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JENNIFER SUSAN GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 932-1000
Mailing address
1218 MOUNTAIN LAKE DR, MISSOURI CITY, TX 77459-1510
(832) 327-4632

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023378-1
NY

Other

Enumeration date
03/12/2019
Last updated
03/12/2019
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