Individual
DR. GREGORY P PHILLIES
Active
Individual
DR. GREGORY P PHILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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