Dermesropian, George
Dermesropian, George is an sole proprietor health care provider with primary practice located at 455 South Fourth Street , Fulton NY 13069-3069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Dermesropian, George can be contacted via phone (315) 598-3585.Contact Information
Primary practice address
455 South Fourth Street
Fulton NY 13069-3069
Phone: (315) 598-3585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 103942 | New York |
Profile Details
| NPI number | 1407045446 |
|---|---|
| LBN Legal business name | Dermesropian, George |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Oct 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407045446 | NPPES |
| New York | MEDICAID | 02172205 |
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