Individual
MICHAEL STUART PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5454
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
225476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225476
STATE LICENSE NUMBER
NY
Enumeration date
11/08/2006
Last updated
03/17/2021
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