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Individual

PHILIP I. HUBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
PO BOX 826207, PHILADELPHIA, PA 19182-6207
(800) 377-8721
(304) 523-2241

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
150138-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01010402
NY
01
1654Q1
BLUECROSS BLUESHIELD
NY
01
P00282625
RAILROAD
Enumeration date
03/24/2006
Last updated
02/11/2010
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