Organization
GEORGE MALEGIANNAKIS PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MICHAEL MALEGIANNAKIS MD (PHYSICIAN)
(718) 375-7595
Entity
Organization
Contact information
Practice address
1811 AVENUE P, SUITE 1A, BROOKLYN, NY 11229
(718) 375-7595
(718) 375-7559
Mailing address
1811 AVENUE P, SUITE 1A, BROOKLYN, NY 11229
(718) 375-7595
(718) 375-7559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02499338
—
NY
01
—
1376503383
NPI
NY
Enumeration date
06/09/2011
Last updated
06/09/2011
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