Disney, George A

Disney, George A is an individual health care provider with primary practice located at 159 Margaret St Suite 101, Plattsburgh NY 12901-1893. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Disney, George A can be contacted via phone (518) 314-3939.

Contact Information

Primary practice address
159 Margaret St Suite 101 Plattsburgh NY 12901-1893
Phone: (518) 314-3939
Fax: (518) 314-3940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 138452 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 138452 New York

Profile Details

NPI number 1588614275
LBN Legal business name Disney, George A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 20th, 2023 - about 2 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 1588614275 NPPES
New York MEDICAID 00688055
New York MEDICAID 01420795
New York MEDICAID 01420800

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