Mtanos, George
Mtanos, George is an individual health care provider with primary practice located at 5794 Widewaters Pkwy , Syracuse NY 13214-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mtanos, George can be contacted via phone (315) 422-1513.Contact Information
Primary practice address
5794 Widewaters Pkwy
Syracuse NY 13214-1845
Phone: (315) 422-1513
Fax: (315) 422-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 206080 | New York |
Profile Details
| NPI number | 1457326126 |
|---|---|
| LBN Legal business name | Mtanos, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Dec 10th, 2020 - about 4 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 | 1457326126 | NPPES |
| New York | MEDICAID | 01624973 |
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