Individual
DR. PHILLIP M VIGNERI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4815
(516) 562-1592
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
161908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00961624
—
NY
Enumeration date
02/07/2006
Last updated
07/08/2007
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