Individual
GEORGE IVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NYCPS-P
Contact information
Practice address
34 WILLIS AVE, MINEOLA, NY 11501-4406
(917) 826-6500
Mailing address
34 WILLIS AVE, MINEOLA, NY 11501-4406
(917) 826-6500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NYCPS-P-49358
NY
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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