Individual
DR. BRIAN STEVEN PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5000
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
249080
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03259607
—
NY
01
—
P00974426
RR MEDICARE PIN
NY
Enumeration date
04/29/2008
Last updated
07/17/2012
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