George, Thomas

George, Thomas is an individual health care provider with primary practice located at 242 Mason Ave , Staten Island NY 10305-3408. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. George, Thomas can be contacted via phone (718) 226-6340.

Contact Information

Primary practice address
242 Mason Ave Staten Island NY 10305-3408
Phone: (718) 226-6340
Fax: (718) 226-6178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 005780 New York

Profile Details

NPI number 1457334583
LBN Legal business name George, Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457334583 NPPES
New York Other 510429841 TAX ID#
New York MEDICAID 02176718 TAX ID#

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