Individual
DR. PHILIP MICHAEL D'AMBROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042-1101
(516) 775-7898
(516) 775-4796
Mailing address
410 LAKEVILLE RD, SUITE 303, NEW HYDE PARK, NY 11042-1101
(516) 775-7898
(516) 775-4796
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
134232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134232
MEDICAL LIC #
NY
Enumeration date
03/04/2006
Last updated
09/20/2012
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