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Individual

DR. MICHAEL EDWARD PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
762 ROUTE 3, SUITE 14, PLATTSBURGH, NY 12901-7472
(518) 562-3204
(518) 563-0707
Mailing address
6 JERRY DR, PLATTSBURGH, NY 12901-1422
(518) 561-6260

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1854331
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01264126
NY
Enumeration date
04/27/2006
Last updated
07/08/2007
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