Provider Demographics
NPI:1205837077
Name:KNAPP, GEORGE STERLING (DO)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:STERLING
Last Name:KNAPP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5509
Mailing Address - Country:US
Mailing Address - Phone:518-583-4268
Mailing Address - Fax:518-581-1636
Practice Address - Street 1:520 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5509
Practice Address - Country:US
Practice Address - Phone:518-583-4268
Practice Address - Fax:518-581-1636
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152044207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01399302Medicaid
NEE20894Medicare UPIN
NY51363AMedicare PIN