George, Paul M

George, Paul M is an sole proprietor health care provider with primary practice located at Route 5 & 5A Sangertown Square , New Hartford NY 13413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. George, Paul M can be contacted via phone (315) 733-7858.

Contact Information

Primary practice address
Route 5 & 5A Sangertown Square New Hartford NY 13413
Fax: (315) 733-5201
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T004564-1 New York

Profile Details

NPI number 1508089327
LBN Legal business name George, Paul M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
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 1508089327 NPPES
New York MEDICAID 00994270

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