Close, Georgia Molly
Close, Georgia Molly is an individual health care provider with primary practice located at 672 Stoneleigh Ave , Carmel NY 10512-4634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Close, Georgia Molly can be contacted via phone (845) 279-2000.Contact Information
Primary practice address
672 Stoneleigh Ave
Carmel NY 10512-4634
Phone: (845) 279-2000
Fax: (845) 279-4695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 241951 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 241951 | New York |
Profile Details
| NPI number | 1083746556 |
|---|---|
| LBN Legal business name | Close, Georgia Molly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2007 |
| Last updated | Nov 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083746556 | NPPES |
| Nevada | MEDICAID | 03266575 |
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