George, Derick T
George, Derick T is an individual health care provider with primary practice located at 333 Route 25A Ste 225, Rocky Point NY 11778-8802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. George, Derick T can be contacted via phone (631) 744-3671.Contact Information
Primary practice address
333 Route 25A Ste 225
Rocky Point NY 11778-8802
Phone: (631) 744-3671
Fax: (631) 744-6205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 183881-1 | New York |
Profile Details
| NPI number | 1144208760 |
|---|---|
| LBN Legal business name | George, Derick T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Oct 20th, 2011 - about 13 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 | 1144208760 | NPPES |
| New York | MEDICAID | 01255889 |
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