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NPI Code Detail

MEDICARE: DR. GEORGES EPHREM M.D.

MEDICARE: DR. GEORGES EPHREM M.D.
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
1207RI0011XInterventional Cardiology PhysicianME160226FL
2207RA0002XAdult Congenital Heart Disease Physician268966NY
3390200000XStudent in an Organized Health Care Education/Training Program

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 : 1366606972
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGES EPHREM M.D.
Provider Business Mailing Address
First Line : 5 COTTAGE PL UNIT 1901
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10601-1596
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line : ACP 1ST FLOOR
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-909-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2008
Last Update Date : 02/02/2026

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