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Individual

GEORGE THAILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
782 PELHAM PKWY S, BRONX, NY 10462-1142
(718) 918-1700
(718) 829-9640
Mailing address
782 PELHAM PKWY S, BRONX, NY 10462-1142
(718) 918-1700
(718) 829-9640

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R042572-1
NY

Other

Enumeration date
09/17/2008
Last updated
09/17/2008
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