Individual
ERIC PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 HOOPER RD, ENDWELL, NY 13760-1592
(607) 757-0444
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-1048
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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