George P Marchacos, PA-C
Physician Assistant in Lake Katrine, NY. Individual provider (NPI-1).
NPI number1619600467
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1619600467
- Entity type
- Individual (NPI-1)
- Name
- Mr. George P Marchacos
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2022
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 028472 | NY | Yes |
Practice location
315 Grant AveLake Katrine, NY 12449-5342
Phone 845-339-2525
Mailing address
113 Robin St Apt 22Albany, NY 12208-3836
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All 9 Physician Assistant providers in Lake Katrine · All 146 providers in Lake Katrine
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