Healthcare Provider Details

I. General information

NPI: 1780147926
Provider Name (Legal Business Name): REBEKAH GEORGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBEKAH MISIR MD

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S BEDFORD RD
MOUNT KISCO NY
10549-3446
US

IV. Provider business mailing address

669 PALISADE AVE
YONKERS NY
10703-2109
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-1580
  • Fax:
Mailing address:
  • Phone: 347-773-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number317730
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: