Individual
MR. DAVID C PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 OLD COUNTRY RD, CARLE PLACE, NY 11514-1805
(516) 741-6334
(516) 741-6337
Mailing address
147 OLD COUNTRY RD, CARLE PLACE, NY 11514-1805
(516) 741-6334
(516) 741-6337
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5190
LICENSE
NY
Enumeration date
03/19/2007
Last updated
07/08/2007
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