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Organization

PHILLIPS HILL PAIN MGMT., PC

Active
Parent organization
PHILLIPS HILL PAIN MGMT., PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHILLIPS HILL PAIN MGMT., PC
Authorized official
RONALD R DISCENZA MD (PRESIDENT)
(845) 709-2274
Entity
Organization

Contact information

Practice address
100 PHILLIPS HILL RD., NEW CITY, NY 10956
(845) 634-5656
(845) 634-0596
Mailing address
PO BOX 514, MONTVALE, NJ 07645
(845) 634-5656
(845) 634-0596

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
140670
NY
208VP0000X
Pain Medicine Physician
Primary
MA045663
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095248
NJ PTAN
NJ
01
WYYZR1
NY PTAN
NY
Enumeration date
10/23/2008
Last updated
10/23/2008
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