Provider Demographics
NPI:1053348862
Name:ESSIF, GEORGE J JR (MS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:J
Last Name:ESSIF
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:ESSIF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6349
Practice Address - Street 1:3550 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-8626
Practice Address - Country:US
Practice Address - Phone:717-851-6340
Practice Address - Fax:717-851-6349
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002814L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA576315000OtherMAGELLAN
PA2144104OtherMAMSI
PA64758001OtherBC/BS OF MD CARE FIRST
PA2250054OtherCIGNA BEHAVIORAL HEALTH
PA279799OtherVALUE OPTIONS
PA511549OtherPA BLUE SHIELD
PA50053665OtherCAPITAL BLUE CROSS