Most Relevant Information
Provider Data
| NPI Number: | 1003441973 |
| Provider Name: | GARY GEORGE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2020 |
| Last Updated: | 03/11/2020 |
Provider Practice Location
420 E 70TH ST APT 9K2
NEW YORK
NY
100215354
Practice Location Phone/Fax
| Phone: | 3132125193 |
| Fax: |
Provider Mailing Location
420 E 70TH ST APT 9K2
NEW YORK
NY
100215354
Provider Mailing Phone/Fax
| Phone: | 3132125193 |
| Fax: |