Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | P88852 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | P88852 | NY |
N | 213ES0131X | Foot Surgery | P88852 | NY |
NPI | 1104268416 |
---|---|
Provider Name | Dr. Paul Georges |
First Address | Astoria, NY 11105-1310 |
Second Address | Brooklyn, NY 11237-4006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2013 |
Last Update Date | 28/07/2013 |