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Organization
SOUTH ELLIOT SOUTH PORTLAND MEDICAL COMPREHENSIVE MEDICAL CENTER
Active
Organization
SOUTH ELLIOT SOUTH PORTLAND MEDICAL COMPREHENSIVE MEDICAL CENTER
Active
Other names
Camille Philippe
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE PHILIPPE MD, PC (MEDICAL DIRECTOR)
(718) 858-5088
Entity
Organization
Contact information
Practice address
739 FULTON ST, BROOKLYN, NY 11217-1560
(718) 858-5088
(718) 858-5278
Mailing address
GPO 27007, NEW YORK, NY 10087-7007
(718) 858-5088
(718) 858-5278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
147143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00924438
—
NY
01
—
0102306
UNITED HEALTHCARE
NY
01
—
10201320
AMERIGROUP
NY
01
—
147143
HIP
NY
01
—
147143C17
HEALTHFIRST
NY
01
—
170899
ELDERPLAN
NY
01
—
209917
WELLCARE
NY
01
—
2835366
AETNA
NY
01
—
50013
VYTRA
NY
01
—
5038C1
EMPIRE BCBS
NY
01
—
5998068
GHI
NY
01
—
5C4093
HEALTHNET
NY
01
—
650251
CIGNA
NY
01
—
72468
GHI-HMO
NY
01
—
BKX033703
AMERICHOICE
NY
01
—
P2664504
OXFORD
NY
Enumeration date
04/26/2007
Last updated
05/16/2008
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