Organization
NANETTE D PHILLIS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW OPHARDT (BUSINESS MANAGER)
(585) 755-7878
Entity
Organization
Contact information
Practice address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2663
(585) 461-9500
(585) 271-1432
Mailing address
2365 S CLINTON AVE, SUITE 100, ROCHESTER, NY 14618-2663
(585) 461-9500
(585) 271-1432
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
195745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01563840
—
NY
Enumeration date
02/19/2008
Last updated
02/19/2008
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