Provider Demographics
NPI:1619155330
Name:SZYGIEL, GEORGE JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:JOHN
Last Name:SZYGIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JERZY
Other - Middle Name:JAN
Other - Last Name:SZCZYGIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:133 ECKFORD ST
Mailing Address - Street 2:APT # 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3268
Mailing Address - Country:US
Mailing Address - Phone:718-389-0433
Mailing Address - Fax:718-389-0433
Practice Address - Street 1:1276 FULTON AVE
Practice Address - Street 2:BRONX LEBANON HOSPITAL FAMILY MEDICINE 3RD FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-3402
Practice Address - Country:US
Practice Address - Phone:718-901-8297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247311207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine