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Individual

DR. GEORGE HANCOCK KOWALLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
162 W 56TH ST, SUITE 407, NEW YORK, NY 10019-3831
(212) 757-0324
(212) 757-0324
Mailing address
162 W 56TH ST, SUITE 407, NEW YORK, NY 10019-3831
(212) 757-0324
(212) 757-0324

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD115904-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
MD115904-1
NY

Other

Enumeration date
01/22/2007
Last updated
12/28/2010
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