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General NPI Number Information
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NPI Number | 1477529303
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Entity Type | Individual
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Provider Name | GEORGE CONDAX MD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 30 W 60TH ST APT 1Y
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City | NEW YORK
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State | NY
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Zip | 10023-7906
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Country | US
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Telephone | 412-506-1919
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5090
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City | GREENWICH
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State | CT
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Zip | 06831-0502
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Country | US
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Telephone | 412-506-1919
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 21168
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 228041
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 228041
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License Number State | NY
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