Individual
DR. PHILIP KAZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 304-7250
Mailing address
591 CHURCHILL RD, TEANECK, NJ 07666-2905
(201) 862-1106
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
1464301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01020355
—
NY
Enumeration date
12/19/2005
Last updated
03/07/2016
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