Individual
DR. PHILIPP BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
425 MAIN ST APT 3F, NEW YORK, NY 10044-0239
(646) 258-6585
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
110355-01
NY
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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