Individual provider · Type 1 NPI

Onoriode George

Surgical Physician Assistant · New York, NY

NPI number 1669196911 Active

Practice location

506 Lenox Ave
New York, NY 10037-1802

Mailing address

19 Fancher Pl
Staten Island, NY 10303-1616

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X029040 (NY)
Physician Assistant 363A00000X029040 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1669196911

Onoriode George's National Provider Identifier is 1669196911, issued on Sep 30, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Nov 20, 2025.