Individual provider · Type 1 NPI

Richard E. Georges Ii, PA-C

Surgical Physician Assistant · East Setauket, NY

NPI number 1194026559 Active

Practice location

6 Technology Dr Ste 100
East Setauket, NY 11733-4079

Call (631) 689-6698 Map

Fax (631) 751-5548

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X014475 (NY)
Surgical Physician Assistant Primary 363AS0400X014475 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1194026559

Richard E. Georges Ii, PA-C's National Provider Identifier is 1194026559, issued on Nov 16, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Setauket, NY. The record was last updated on May 24, 2019.