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Individual

DR. GARY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 DAYTON LN, SUITE 202, PEEKSKILL, NY 10566-2859
(914) 739-0087
(914) 737-1714
Mailing address
50 DAYTON LN, SUITE 202, PEEKSKILL, NY 10566-2859
(914) 739-0087
(914) 737-1714

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
164939
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A164939
NY
208M00000X
Hospitalist Physician
Primary
164939
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01250233
NY
Enumeration date
07/08/2005
Last updated
02/15/2017
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