person
Jerry Jacob George, DO
Hematology & Oncology Physician in Port Jefferson Station, New York
NPI 1972765733

Jerry Jacob George is a Hematology & Oncology Physician based in Port Jefferson Station, NY and is specialized in Hematology & Oncology. Jerry Jacob George practices in Port Jefferson Station, NY and has the professional credentials of DO. The NPI Number for Jerry Jacob George is 1972765733 and holds a License No. 249204 (New York).

The current practice location address for Jerry Jacob George is 49 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-751-3000 and via fax at 631-509-6559.

Location: 49 Nesconset Hwy, Port Jefferson Station, NY, 11776-8055
person
Provider Profile Details
NPI Number
1972765733
Provider Name
Jerry Jacob George
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
49 Nesconset Hwy, Port Jefferson Station, NY, 11776-8055
Phone Number
631-751-3000
Fax Number
631-509-6559
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03105479 05 NY
9127406 01 NY AETNA
2999511 01 NY CIGNA
38Q771 01 NY EMPIRE BS
institution
Provider Business Practice Location Address Details
Address
49 Nesconset Hwy
City
State
Zip
11776-2628
Phone Number
631-751-3000
Fax Number
631-509-6559
person
Provider Business Mailing Address Details
Address
49 Nesconset Hwy
City
State
Zip
11776-2628
Phone Number
631-751-3000
Fax Number
631-509-6559
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
249204 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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