Colvin, George L

Colvin, George L is an individual health care provider with primary practice located at 8416 Jamaica Ave , Woodhaven NY 11421-1920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Colvin, George L can be contacted via phone (718) 296-6900.

Contact Information

Primary practice address
8416 Jamaica Ave Woodhaven NY 11421-1920
Fax: (718) 296-0737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 08808 New York

Profile Details

NPI number 1609866599
LBN Legal business name Colvin, George L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609866599 NPPES
New York MEDICAID 00241016

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