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Individual

PHIL S. DAFLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14861 STATE ROUTE 30, MALONE, NY 12953-4816
(518) 483-0065
(518) 483-0809
Mailing address
14861 STATE ROUTE 30, MALONE, NY 12953-4816
(518) 483-0065
(518) 483-0809

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-058291
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02808684
NY
05
0760903
OH
01
P00363925
RAILROAD MEDICARE
Enumeration date
05/18/2006
Last updated
08/12/2014
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