Prackup, George M

Prackup, George M is an individual health care provider with primary practice located at 73 Market St , Yonkers NY 10710-7602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Prackup, George M can be contacted via phone (914) 682-6538.

Contact Information

Primary practice address
73 Market St Yonkers NY 10710-7602
Phone: (914) 682-6538
Fax: (914) 457-1583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 035567 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 231576-1 New York

Profile Details

NPI number 1740209998
LBN Legal business name Prackup, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 27th, 2018 - about 7 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 1740209998 NPPES
Illinois MEDICAID 036088945
Illinois MEDICAID 34584200

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