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NPI Code Detail

MEDICARE: PATRICK L GEORGE PA

MEDICARE: PATRICK L GEORGE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0052291NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134126204
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK L GEORGE PA
Provider Business Mailing Address
First Line : 1616 KENSINGTON AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1433
Country : US
Telephone Number : 716-834-3278
Fax Number : 716-862-9342
Provider Business Practice Location Address
First Line : 1616 KENSINGTON AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1433
Country : US
Telephone Number : 716-834-3278
Fax Number : 716-862-9342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/26/2007

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Directions to “ PATRICK L GEORGE PA” Practice Location

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