Individual
DR. GREGORY P PHILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2954
(716) 859-2962
Mailing address
PO BOX 1368, WILLIAMSVILLE, NY 14231-1368
(716) 859-2954
(716) 859-2962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
138862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025345105
UNIVERA
—
01
—
000525477008
BLUE SHIELD WNY
—
05
—
00867092
—
NY
01
—
040426002635
FIDELIS
—
01
—
1388628W
WORKERS COMPENSATION
NY
01
—
4195933
GHI
—
01
—
5607924
INDEPENDENT HEALTH
—
01
—
P00028819
RR MEDICARE
—
Enumeration date
05/01/2006
Last updated
05/06/2008
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