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NPI Code Detail

MEDICARE: EMILY A GEORGE

MEDICARE: EMILY A GEORGE
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
1101YM0800XMental Health Counselor114100-01NY

General Provider Information

NPI Number : 1538813761
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A GEORGE
Provider Business Mailing Address
First Line : 197 INDIAN CHURCH RD
Second Line :
City : BUFFALO
State : NY
Zip : 14210-1933
Country : US
Telephone Number : 716-868-7182
Fax Number :
Provider Business Practice Location Address
First Line : 42 LAKE ST
Second Line :
City : HAMBURG
State : NY
Zip : 14075-4937
Country : US
Telephone Number : 716-410-5390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 02/07/2022

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Directions to “ EMILY A GEORGE ” Practice Location

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