Individual
DR. GEORGE SURGULADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2255
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
267949
NY
Other
Enumeration date
11/21/2012
Last updated
05/14/2020
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