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Individual
NANETTE D PHILLIS, MD, PLLC
Active
Individual
NANETTE D PHILLIS, MD, PLLC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
195745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01563840
—
NY
01
—
101517BJ
PREFERRED CARE
NY
01
—
412186999
UNITED HEALTH CARE
GA
01
—
412186999
EMPIRE PLAN
NY
01
—
5269451
AETNA
NY
01
—
DE2348
RAIL ROAD MEDICARE
NY
01
—
P010195745
RMSCO
NY
01
—
P020195745
UNIVERA
NY
Enumeration date
02/27/2006
Last updated
05/03/2010
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