Individual
PHILLIP JOHN GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLAZA, 2ND FL, SYRACUSE, NY 13202
(315) 464-3835
(315) 464-3837
Mailing address
90 PRESIDENTIAL PLAZA, 2ND FL, SYRACUSE, NY 13202
(315) 464-3835
(315) 464-3837
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
321739
NY
207RP1001X
Pulmonary Disease Physician
Primary
312739
NY
207RP1001X
Pulmonary Disease Physician
67353
MN
Other
Enumeration date
04/01/2016
Last updated
01/19/2024
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